Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICAELA ROSE NANNERY MD
NPI 1790314656
Radiology - Vascular & Interventional Radiology in Charlotte, NC

Q: What is Micaela Nannery's NPI number?

The NPI number for Micaela Nannery is 1790314656. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Q: What is Micaela Nannery's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Micaela Nannery was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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 April 03, 2020PECOS Enrolled

700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202(704) 334-7800 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 24, 2026, Aug 12, 2021, Jul 28, 2020 and 2 more (5 updates tracked since 2020).

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About Micaela Rose Nannery Md NPPES

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

MICAELA ROSE NANNERY MD (NPI 1790314656) is an individual vascular & interventional radiology provider in Charlotte, North Carolina, licensed in North Carolina (2024-01189) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790314656

Entity TypeIndividualFemale

Primary Taxonomy2085R0204X

Provider Legal NameMICAELA ROSE NANNERYCredential: MD

Location Address700 E MOREHEAD ST STE 300Charlotte, NC 28202-2742

Mailing Address700 E Morehead St Ste 300Charlotte, NC 28202-2742

Phone(704) 334-7800

Sole ProprietorNo

Enumeration DateApril 3, 2020

Last NPPES UpdateAugust 24, 20265 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1790314656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in NC · 2024-01189

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedInternal MedicineTaxonomy 207R00000X · License 284024 (MA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

700 E MOREHEAD ST STE 300, Charlotte, NC 28202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Micaela Rose Nannery Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28202 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

$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 20

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

MRS. PAMELA SUTTON ORAVETZ P.A.-C

Physician Assistant (Medical)