VANESSA LEE PETHEL
NPI 1689384901
Nurse Practitioner - Family in Charlotte, NC

Q: What is Vanessa Pethel's NPI number?

The NPI number for Vanessa Pethel is 1689384901. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Q: What is Vanessa Pethel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Vanessa Pethel was last updated on December 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 28, 2022PECOS EnrolledAccepts Medicare Assignment

10515 MALLARD CREEK RD, CHARLOTTE, NC 28262(704) 547-9739 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2023, Jan 25, 2023, Nov 28, 2022 (3 updates tracked since 2022).

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About Vanessa Lee Pethel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANESSA LEE PETHEL (NPI 1689384901) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5017561) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689384901

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameVANESSA LEE PETHEL

Location Address10515 MALLARD CREEK RDCharlotte, NC 28262-9785

Mailing Address579 Odell School RdConcord, NC 28027-9769

Phone(704) 547-9739

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 28, 2022

Last NPPES UpdateDecember 29, 20233 updates tracked since enumeration

NPPES CertifiedDecember 29, 2023

✔ NPI 1689384901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5017561

10515 MALLARD CREEK RD, Charlotte, NC 28262

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vanessa Lee Pethel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709250525

PECOS Enrollment IDI20230317002397

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services19 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

17 services17 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN PRICE FNP

Nurse Practitioner (Family)