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KELLY PFLAUM NP
NPI 1760736169
Nurse Practitioner - Family in Raleigh, NC

Active since November 07, 2012PECOS Enrolled
2815 CATES AVE, RALEIGH, NC 27695(919) 515-2563(888) 972-4151 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 25, 2017 (2 updates tracked since 2017).

About Kelly Pflaum Np NPPES

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

KELLY PFLAUM NP (NPI 1760736169) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5005912) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760736169
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY PFLAUMCredential: NP
Location Address2815 CATES AVERaleigh, NC 27695-7416
Mailing Address2815 Cates AvenueRaleigh, NC 27695-0001 · (919) 515-2563 · Fax (888) 972-4151
Phone(919) 515-2563
Fax(888) 972-4151
Sole ProprietorNo
Enumeration DateNovember 7, 2012
Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1760736169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5005912
2815 CATES AVE, Raleigh, NC 27695
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Pflaum Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kelly Pflaum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Specialty Phisicians, LLC
0.8 mi
Family Medicine
601 OBERLIN RD
Raleigh, NC 27605
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Wake Specialty Physicians LLC
  • 213 clinicians in this Medicare group
NPI 1053921874 (919) 235-6566
Wakemed Specialists Group, LLC
2.3 mi
Infectious Disease
2304 WESVILL CT
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 997 clinicians in this Medicare group
NPI 1497431837 (919) 350-8000

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 27695 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 20

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

ROBBYE BROOKS
Physical Therapist
2815 CATES AVE
RALEIGH, NC 27695
Wake County (919) 515-2563
MS. WENDY BIERWIRTH FNP
Nurse Practitioner (Family)
2815 CATES AVE
RALEIGH, NC 27695
Wake County (919) 515-2563
DR. KATHARINE MARIE SHEA M.D.
Pediatrics
2815 CATES AVE
RALEIGH, NC 27695
Wake County (919) 515-2563
SUHA NAJJAR RD, LDN
Dietitian, Registered
2815 CATES AVE
RALEIGH, NC 27695
Wake County (919) 513-1578
MRS. NANCY J HUTCHINSON ANP
Nurse Practitioner (Adult Health)
2815 CATES AVE
RALEIGH, NC 27695
Wake County (919) 515-2563
MS. ALISON L BRIM ANP-C
Nurse Practitioner (Adult Health)
2815 CATES AVE, CAMPUS BOX 7304
RALEIGH, NC 27695
Wake County (919) 515-2563
ASHLEY PINET RD, LDN
Dietitian, Registered
2815 CATES AVE
RALEIGH, NC 27695
Wake County (919) 515-2563
SUSAN THERESE GARRETT M.D.
Psychiatry & Neurology (Psychiatry)
2815 CATES AVE
RALEIGH, NC 27695
Wake County (919) 515-2423

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 Kelly Pflaum's NPI number?

The NPI number for Kelly Pflaum is 1760736169. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Where is Kelly Pflaum located?

Kelly Pflaum practices at 2815 Cates Ave, Raleigh, NC 27695. The listed phone number is (919) 515-2563.

What is Kelly Pflaum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Pflaum enrolled in Medicare?

Yes. Kelly Pflaum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Pflaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Pflaum reassigns Medicare benefits to 2 organizations: Wake Specialty Phisicians, LLC (Raleigh, NC) and Wakemed Specialists Group, LLC (Raleigh, NC). Each 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 Kelly Pflaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Pflaum accept?

Health plans from UnitedHealthcare list Kelly Pflaum 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 Kelly Pflaum was last updated on January 17, 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.