KIMBERLY S SQUIRES FNP-C; PMHNP-BC
NPI 1871735068
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since April 02, 2009PECOS Enrolled
10320 MALLARD CREEK RD, STE 240, CHARLOTTE, NC 28262(704) 886-8703 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly S Squires Fnp-c; Pmhnp-bc NPPES

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

KIMBERLY S SQUIRES FNP-C; PMHNP-BC (NPI 1871735068) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (2014029878) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871735068
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY S SQUIRESCredential: FNP-C; PMHNP-BC
Location Address10320 MALLARD CREEK RD, STE 240Charlotte, NC 28262-9756
Mailing Address10320 Mallard Creek Rd, Ste 240Charlotte, NC 28262-9756 · (704) 886-8703
Sole ProprietorNo
Enumeration DateApril 2, 2009
Last NPPES UpdateJuly 22, 2016
NPI 1871735068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NC · 2014029878
Also ListedNurse PractitionerTaxonomy 363L00000X · License 218478 (NC)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2008001301 (NC)
10320 MALLARD CREEK RD, Charlotte, NC 28262

Other Identifiers 1

Other5004974NC · Etn P97980

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly S Squires Fnp-c; Pmhnp-bc 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 28262 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 19

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

Dentist (General Practice)
10320 MALLARD CREEK RD, SUITE 160
CHARLOTTE, NC 28262
Internal Medicine
10320 MALLARD CREEK RD, STE 271
CHARLOTTE, NC 28262
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10320 MALLARD CREEK RD, SUITE 260
CHARLOTTE, NC 28262
Nurse Practitioner
10320 MALLARD CREEK RD
CHARLOTTE, NC 28262
Internal Medicine
10320 MALLARD CREEK RD, SUITE 120
CHARLOTTE, NC 28262
Dentist (Orthodontics and Dentofacial Orthopedics)
10320 MALLARD CREEK RD, SUITE 140
CHARLOTTE, NC 28262
Family Medicine
10320 MALLARD CREEK RD, SUITE 100
CHARLOTTE, NC 28262
Physician Assistant
10320 MALLARD CREEK RD, SUITE 100
CHARLOTTE, NC 28262

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 Kimberly Squires's NPI number?

The NPI number for Kimberly Squires is 1871735068. It was assigned to this individual provider in the NPPES registry on April 2, 2009.

Where is Kimberly Squires located?

Kimberly Squires practices at 10320 Mallard Creek Rd Ste 240, Charlotte, NC 28262. The listed phone number is (704) 886-8703.

What is Kimberly Squires's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberly Squires enrolled in Medicare?

Yes. Kimberly Squires is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Squires accept?

Health plans from Providence Health Plan and UnitedHealthcare list Kimberly Squires 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 Kimberly Squires was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.