MRS. COLLETTA LAVINA REDMON
NPI 1790944049
Nurse Practitioner - Family in Monroe, NC

Q: What is Colletta Redmon's NPI number?

The NPI number for Colletta Redmon is 1790944049. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Q: What is Colletta Redmon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Colletta Redmon was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 03, 2008PECOS Enrolled

404 S SUTHERLAND AVE, MONROE, NC 28112(704) 291-9267 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Mrs. Colletta Lavina Redmon NPPES

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

MRS. COLLETTA LAVINA REDMON (NPI 1790944049) is an individual family provider in Monroe, North Carolina, licensed in North Carolina (630555) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790944049

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. COLLETTA LAVINA REDMON

Location Address404 S SUTHERLAND AVEMonroe, NC 28112-5060

Mailing Address193 Redmon RdHarmony, NC 28634-9249 · (980) 378-3716

Phone(704) 291-9267

Sole ProprietorYes

Enumeration DateJune 3, 2008

Last NPPES UpdateJuly 22, 2026

NPPES CertifiedJuly 22, 2026

✔ NPI 1790944049 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 · 630555

404 S SUTHERLAND AVE, Monroe, NC 28112

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Colletta Lavina Redmon 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 28112 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.

KYLEE NUTTER PA

Physician Assistant (Medical)