BLISS HOME BASED PRIMARY MEDICAL CARE
NPI 1699428607
Nurse Practitioner - Primary Care in Charlotte, NC
About Bliss Home Based Primary Medical Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLISS HOME BASED PRIMARY MEDICAL CARE (NPI 1699428607) is a healthcare organization registered as a primary care in Charlotte, North Carolina and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Renae Walton, Dnp, Fnp-bc, Aprn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bliss Home Based Primary Medical Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bliss Home Based Primary Medical Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2318504
Bliss Home Based Primary Medical Care · Charlotte, NCFrequently 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 Bliss Home Based Primary Medical Care's NPI number?
The NPI number for Bliss Home Based Primary Medical Care is 1699428607. It was assigned to this organization in the NPPES registry on January 31, 2022.
Where is Bliss Home Based Primary Medical Care located?
Bliss Home Based Primary Medical Care is located at 1213 W Morehead St Fl 5, Charlotte, NC 28208. The listed phone number is (980) 730-2307.
What is Bliss Home Based Primary Medical Care's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Bliss Home Based Primary Medical Care enrolled in Medicare?
Yes. Bliss Home Based Primary Medical Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bliss Home Based Primary Medical Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bliss Home Based Primary Medical Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bliss Home Based Primary Medical Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2318504) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bliss Home Based Primary Medical Care accept?
Health plans from Blue Cross and Blue Shield of NC list Bliss Home Based Primary Medical Care 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.
When was this NPI record last updated?
The NPPES record for Bliss Home Based Primary Medical Care was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Bliss Home Based Primary Medical Care · NPI 1699428607
Primary Care organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since January 31, 2022.
## Identity
- **NPI:** 1699428607 (Entity type: Organization)
- **Enumerated:** January 31, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Also known as:** BLISS HOME BASED PRIMARY MEDICAL CARE (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Renae Walton, DNP, FNP-BC, APRN
## Practice location
- **Address:** 1213 W MOREHEAD ST FL 5, Charlotte, NC 28208-5576
- **Phone:** (980) 730-2307 · **Fax:** (980) 730-2308
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2025
- **Other identifiers:** Medicaid 7004187 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699428607) · Data from the CMS NPPES public registry.