KATELYN ELIZABETH PAYNE PNP
NPI 1740154434
Nurse Practitioner in Charlotte, NC
About Katelyn Elizabeth Payne Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN ELIZABETH PAYNE PNP (NPI 1740154434) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5024320) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katelyn Elizabeth Payne Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katelyn Payne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28204
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 Katelyn Payne's NPI number?
The NPI number for Katelyn Payne is 1740154434. It was assigned to this individual provider in the NPPES registry on October 3, 2025.
Where is Katelyn Payne located?
Katelyn Payne practices at 1718 E 4th St Ste 807, Charlotte, NC 28204. The listed phone number is (980) 488-9630.
What is Katelyn Payne's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Katelyn Payne enrolled in Medicare?
Yes. Katelyn Payne is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katelyn Payne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Payne reassigns Medicare benefits to Novant Health Medical Group, LLC (Charlotte, NC). The 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 Katelyn Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katelyn Payne was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Katelyn Elizabeth Payne, PNP · NPI 1740154434
Nurse Practitioner physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since October 3, 2025.
## Identity
- **NPI:** 1740154434 (Entity type: Individual)
- **Enumerated:** October 3, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5024320 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1718 E 4TH ST STE 807, Charlotte, NC 28204-3280
- **Phone:** (980) 488-9630
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Novant Health Medical Group, LLC (NPI 1083959282, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** June 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740154434) · Data from the CMS NPPES public registry.