HEATHER KIRSTEN NELSON NP
NPI 1699145722
Nurse Practitioner in Charlotte, NC

Active since October 01, 2015PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1225 HARDING PL, STE 4100, CHARLOTTE, NC 28204(704) 377-9323 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Sep 27, 2021 and 48 more (51 updates tracked since 2015).

About Heather Kirsten Nelson Np NPPES

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

HEATHER KIRSTEN NELSON NP (NPI 1699145722) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5008053) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699145722
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER KIRSTEN NELSONCredential: NP
Location Address1225 HARDING PL, STE 4100Charlotte, NC 28204-2826
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2015
Enumeration DateOctober 1, 2015
Last NPPES UpdateJuly 15, 202451 updates tracked since enumeration
NPI 1699145722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5008053
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1225 HARDING PL, Charlotte, NC 28204

Secondary Practice Locations 2

Location 110660 Park Rd, Ste 4500Charlotte, NC 28210-8413 · Phone (704) 667-8800
Location 215110 John J Delaney Dr, Ste 200Charlotte, NC 28277-3544 · Phone (704) 377-9323

Accepted 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

Heather Kirsten Nelson Np 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 ID6103128483
PECOS Enrollment IDI20160104000864
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services41 patients
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.
41 services32 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.
25 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Urology
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Internal Medicine (Infectious Disease)
1225 HARDING PL, STE 2100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
1225 HARDING PL, STE 4100
CHARLOTTE, NC 28204
Physician Assistant
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Internal Medicine (Gastroenterology)
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Nelson's NPI number?

The NPI number for Heather Nelson is 1699145722. It was assigned to this individual provider in the NPPES registry on October 1, 2015.

Where is Heather Nelson located?

Heather Nelson practices at 1225 Harding Pl Ste 4100, Charlotte, NC 28204. The listed phone number is (704) 377-9323.

What is Heather Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Nelson enrolled in Medicare?

Yes. Heather Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Nelson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Heather Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Nelson affiliated with any hospitals?

According to CMS data, Heather Nelson is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Heather Nelson was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.