LISA KELLY RN-MSN, FNP-C
NPI 1881124980
Nurse Practitioner - Family in Charlotte, NC

Q: What is Lisa Kelly's NPI number?

The NPI number for Lisa Kelly is 1881124980. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Q: What is Lisa Kelly'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 Lisa Kelly was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 13, 2017PECOS EnrolledAccepts Medicare Assignment

700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202(704) 334-7800 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 29, 2018, Jul 27, 2017, Jun 13, 2017 (3 updates tracked since 2017).

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About Lisa Kelly Rn-msn, Fnp-c NPPES

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

LISA KELLY RN-MSN, FNP-C (NPI 1881124980) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (F04170413) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains a secondary practice location in Huntersville.

NPPES Registry Identity

NPI1881124980

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA KELLYCredential: RN-MSN, FNP-C

Location Address700 E MOREHEAD ST STE 300Charlotte, NC 28202-2742

Mailing Address700 E Morehead St Ste 300Charlotte, NC 28202-2742 · (704) 334-7800

Phone(704) 334-7800

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2016

Enumeration DateJune 13, 2017

Last NPPES UpdateMarch 29, 20183 updates tracked since enumeration

✔ NPI 1881124980 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 · F04170413

700 E MOREHEAD ST STE 300, Charlotte, NC 28202

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Secondary Practice Location 1

Location 19735 Kincey Ave Ste 100Huntersville, NC 28078-9120 · Phone (704) 500-2332 · Fax (888) 511-8009

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Kelly Rn-msn, 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 ID6608135223

PECOS Enrollment IDI20180104002168

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340166

Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28202 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.

MRS. PAMELA SUTTON ORAVETZ P.A.-C

Physician Assistant (Medical)