ELIZABETH RICHMOND FORTNER FNP-C
NPI 1801165196
Nurse Practitioner - Family in Charlotte, NC

Q: What is Elizabeth Fortner's NPI number?

The NPI number for Elizabeth Fortner is 1801165196. It was assigned to this individual provider in the NPPES registry on December 15, 2011.

Q: What is Elizabeth Fortner'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 Elizabeth Fortner was last updated on October 31, 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.

Active since December 15, 2011PECOS EnrolledAccepts Medicare Assignment

7845 LITTLE AVE, CHARLOTTE, NC 28226(704) 375-0100(704) 887-6450 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 25, 2019, Feb 5, 2016 (2 updates tracked since 2016).

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About Elizabeth Richmond Fortner Fnp-c NPPES

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

ELIZABETH RICHMOND FORTNER FNP-C (NPI 1801165196) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5005418) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1801165196

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH RICHMOND FORTNERCredential: FNP-C

Location Address7845 LITTLE AVECharlotte, NC 28226-8198

Mailing AddressPo Box 470408Charlotte, NC 28247-0408 · (704) 375-0100 · Fax (704) 887-6450

Phone(704) 375-0100

Fax(704) 887-6450

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateDecember 15, 2011

Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration

NPPES CertifiedOctober 31, 2024

✔ NPI 1801165196 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 · 5005418

7845 LITTLE AVE, Charlotte, NC 28226

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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.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

Elizabeth Richmond Fortner Fnp-c 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 ID1759540982

PECOS Enrollment IDI20120307000966

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

Medicare enrollment records show Elizabeth Fortner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ubylee Healthcare Group, PLLC

8.6 mi

Specialist

9723 NORTHEAST PKWY, STE 100
Matthews, NC 28105

Reassigned Medicare billing, North Carolina and South Carolina enrollments
Also billed through NPI 1922824937 (South Carolina)
12 clinicians in this Medicare group

NPI 1265942403 (980) 262-3007

Centerwell Senior Primary Care (nc) PC

19 mi

Internal Medicine

2910 E FRANKLIN BLVD, 1
Gastonia, NC 28056

Reassigned Medicare billing, North Carolina enrollment
67 clinicians in this Medicare group

NPI 1073034625 (704) 648-0460

Primary Care Providers & Beyond, PLLC

24 mi

Primary Care

1000 SIMPLICITY RD
Concord, NC 28025

Reassigned Medicare billing, North Carolina enrollment
3 clinicians in this Medicare group

NPI 1023788510 (704) 791-8120

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 28226 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.

ELIZABETH MARIE HAYES MD

Internal Medicine (Hospice and Palliative Medicine)