DR. NICOLE SHARON WELLBAUM MD
NPI 1740544600
Obstetrics & Gynecology in Mooresville, NC

Q: What is Nicole Wellbaum's NPI number?

The NPI number for Nicole Wellbaum is 1740544600. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Q: What is Nicole Wellbaum's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wellbaum was last updated on September 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment

131 MEDICAL PARK RD STE 102, MOORESVILLE, NC 28117(704) 663-1282(704) 663-1413 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Nicole Sharon Wellbaum Md NPPES

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

DR. NICOLE SHARON WELLBAUM MD (NPI 1740544600) is an individual obstetrics & gynecology provider in Mooresville, North Carolina, licensed in North Carolina (2016-00705) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Lake Norman Regional Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2012).

NPPES Registry Identity

NPI1740544600

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. NICOLE SHARON WELLBAUMCredential: MD

Location Address131 MEDICAL PARK RD STE 102Mooresville, NC 28117-8523

Mailing AddressPo Box 1845Statesville, NC 28687-1845

Phone(704) 663-1282

Fax(704) 663-1413

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2012

Enumeration DateJune 26, 2012

Last NPPES UpdateSeptember 20, 2017

✔ NPI 1740544600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NC · 2016-00705

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

131 MEDICAL PARK RD STE 102, Mooresville, NC 28117

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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, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Sharon Wellbaum Md 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 ID6103064068

PECOS Enrollment IDI20160719000333

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Wellbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Healthcare, P.A.

18 mi

Internal Medicine

650 SIGNAL HILL DRIVE EXT
Statesville, NC 28625

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Piedmont Healthcare PA
186 clinicians in this Medicare group

NPI 1912999897 (704) 873-4277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

34 services34 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.

26 services21 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.

18 services11 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

12 services12 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lake Norman Regional Medical Center

Acute Care Hospitals · Mooresville, NC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number340129

Location171 Fairview RoadMooresville, NC 28117 · Iredell County

Emergency services

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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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 6

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

KRISANDRA MARIE EDWARDS FNP-C

Nurse Practitioner (Family)