MR. FRED REID NEW JR. NP
NPI 1710173018
Nurse Practitioner - Adult Health in Mooresville, NC

Active since September 20, 2007PECOS EnrolledAccepts Medicare Assignment
140 GATEWAY BLVD, MOORESVILLE, NC 28117(704) 664-9638(704) 664-1859 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Fred Reid New Jr. Np NPPES

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

MR. FRED REID NEW JR. NP (NPI 1710173018) is an individual adult health provider in Mooresville, North Carolina, licensed in North Carolina (0050-02175) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1710173018
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. FRED REID NEW JR.Credential: NP
Location Address140 GATEWAY BLVDMooresville, NC 28117-5540
Mailing Address140 Gateway BlvdMooresville, NC 28117-5540 · (704) 664-9638 · Fax (704) 664-1859
Fax(704) 664-1859
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 20, 2007
Last NPPES UpdateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
NPI 1710173018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NC · 0050-02175
140 GATEWAY BLVD, Mooresville, NC 28117

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

Mr. Fred Reid New Jr. 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 ID5294929089
PECOS Enrollment IDI20101105000605
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
480 services15 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
423 services15 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
359 services240 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
159 services128 patients
New patient office or other outpatient visit, 30-44 minutes 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.
52 services52 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
39 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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.

Other Providers at the Same Location NPPES 8

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

Otolaryngology
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Audiologist
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Otolaryngology
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Audiologist
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Audiologist
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Audiologist
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Otolaryngology
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
140 GATEWAY BLVD
MOORESVILLE, NC 28117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710173018, enumerated as an "individual" on September 20, 2007.

The provider is located at 140 GATEWAY BLVD MOORESVILLE, NC 28117 and the phone number is (704) 664-9638.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and. Please consult your insurance carrier or call the provider to verify.