MS. KELLI MAUREEN WALL FNP-C
NPI 1811368905
Nurse Practitioner - Family in Charlotte, NC

Q: What is Kelli Wall's NPI number?

The NPI number for Kelli Wall is 1811368905. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Q: What is Kelli Wall'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 Kelli Wall was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 14, 2015PECOS Enrolled

110 KILDAIRE FARM RD, CHARLOTTE, NC 27518(919) 235-6575(919) 235-6598 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2022, Nov 9, 2022, Aug 29, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Ms. Kelli Maureen Wall Fnp-c NPPES

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

MS. KELLI MAUREEN WALL FNP-C (NPI 1811368905) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5011726) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1811368905

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KELLI MAUREEN WALLCredential: FNP-C

Location Address110 KILDAIRE FARM RDCharlotte, NC 27518-8162

Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-8991 · Fax (919) 350-7687

Phone(919) 235-6575

Fax(919) 235-6598

Sole ProprietorNo

Enumeration DateOctober 14, 2015

Last NPPES UpdateDecember 16, 20225 updates tracked since enumeration

NPPES CertifiedDecember 14, 2022

✔ NPI 1811368905 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 · 5011726

110 KILDAIRE FARM RD, Charlotte, NC 27518

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Secondary Practice Location 1

Location 15918 Illuminate AveRaleigh, NC 27616-4347 · Phone (815) 302-2494

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelli Maureen Wall Fnp-c 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 Reassignment

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

Wake Specialty Physicians LLC

2.1 mi

Family Medicine

222 ASHVILLE AVE
Cary, NC 27518

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

NPI 1871052597 (919) 350-6575

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 2

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.

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.

72 services48 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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

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

MRS. LEANNE STEINBECK SIRK M.S., CCC-SLP

Speech-Language Pathologist

110 KILDAIRE FARM RD
CARY, NC 27518

Wake County (919) 350-8000

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 Kelli Wall's NPI number?

The NPI number for Kelli Wall is 1811368905. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Where is Kelli Wall located?

Kelli Wall practices at 110 Kildaire Farm Rd, Charlotte, NC 27518. The listed phone number is (919) 235-6575.

What is Kelli Wall's specialty?

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

Is Kelli Wall enrolled in Medicare?

Yes. Kelli Wall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelli Wall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Wall reassigns Medicare benefits to Wake Specialty Physicians LLC (Cary, NC). The 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 Kelli Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Wall accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Kelli Wall 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 Kelli Wall was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.