KELLY B ST. GEORGE FNP
NPI 1881900595
Nurse Practitioner - Family in Charlotte, NC

Active since August 19, 2010PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
10620 PARK RD, STE 202, CHARLOTTE, NC 28210(704) 667-0920 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 56 more (59 updates tracked since 2017).

About Kelly B St. George Fnp NPPES

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

KELLY B ST. GEORGE FNP (NPI 1881900595) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5004843) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1881900595
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY B ST. GEORGECredential: FNP
Location Address10620 PARK RD, STE 202Charlotte, NC 28210-8472
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 19, 2010
Last NPPES UpdateSeptember 25, 202559 updates tracked since enumeration
NPI 1881900595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5004843
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5004843 (NC)
10620 PARK RD, Charlotte, NC 28210

Secondary Practice Locations 4

Location 11100 Blythe BlvdCharlotte, NC 28203-5814 · Phone (704) 355-4300
Location 2201 E Grover StShelby, NC 28150-3917 · Phone (980) 487-3000
Location 32301 US Highway 74 WWadesboro, NC 28170-7554 · Phone (704) 994-4500
Location 41000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-2000

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 and accepts Medicare assignment

Kelly B St. George Fnp 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 ID3971628835
PECOS Enrollment IDI20100915000649
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.

Areas of Expertise CMS Part B claims

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
10620 PARK RD, STE 202
CHARLOTTE, NC 28210
Family Medicine
10620 PARK RD, STE 202
CHARLOTTE, NC 28210
Nurse Practitioner
10620 PARK RD, STE 202
CHARLOTTE, NC 28210
Family Medicine
10620 PARK RD, STE 202
CHARLOTTE, NC 28210
Nurse Practitioner
10620 PARK RD, STE 202
CHARLOTTE, NC 28210
Urology
10620 PARK RD, SUITE 218
CHARLOTTE, NC 28210
Physician Assistant
10620 PARK RD, STE 202
CHARLOTTE, NC 28210
Physical Therapist
10620 PARK RD, SUITE 200
CHARLOTTE, NC 28210

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 Kelly St. George's NPI number?

The NPI number for Kelly St. George is 1881900595. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Where is Kelly St. George located?

Kelly St. George practices at 10620 Park Rd Ste 202, Charlotte, NC 28210. The listed phone number is (704) 667-0920.

What is Kelly St. George's specialty?

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

Is Kelly St. George enrolled in Medicare?

Yes. Kelly St. George is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly St. George accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kelly St. George 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 Kelly St. George was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.