KIMBERLY S SQUIRES FNP-C; PMHNP-BC
NPI 1871735068
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC
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
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Squires reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Smithfield, VA 23430
- Reassigned Medicare billing, Virginia enrollment
- 1,097 clinicians in this Medicare group
Suffolk, VA 23435
- Reassigned Medicare billing, Virginia enrollment
- 76 clinicians in this Medicare group
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 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.
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.
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
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.
Which organizations bill Medicare for Kimberly Squires's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Squires reassigns Medicare benefits to 2 organizations: Riverside Physician Services Inc (Smithfield, VA) and Western Tidewater Community Mental (Suffolk, VA). Each 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 Kimberly Squires's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Squires accept?
Health plans from Oscar Health 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.
# Kimberly S Squires, FNP-C; PMHNP-BC · NPI 1871735068
Psychiatric/Mental Health physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since April 2, 2009.
## Identity
- **NPI:** 1871735068 (Entity type: Individual)
- **Enumerated:** April 2, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2014029878 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 10320 MALLARD CREEK RD, STE 240, Charlotte, NC 28262-9756
- **Phone:** (704) 886-8703
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Riverside Physician Services Inc (NPI 1699796359, Smithfield, VA); Western Tidewater Community Mental (NPI 1689615296, Suffolk, VA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2016
- **Other identifiers:** Other 5004974 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1871735068) · Data from the CMS NPPES public registry.