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JAMES N. HORSTMANN MD
NPI 1912919424
Pediatrics - Pediatric Critical Care Medicine in Charlotte, NC

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1422 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 55 more (58 updates tracked since 2017).

About James N. Horstmann Md NPPES

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

JAMES N. HORSTMANN MD (NPI 1912919424) is an individual pediatric critical care medicine provider in Charlotte, North Carolina, licensed in North Carolina (2013-02152) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Vermont College Of Medicine (2003).

NPPES Registry Identity

NPI1912919424
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameJAMES N. HORSTMANNCredential: MD
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 446-1422
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2003
Enumeration DateAugust 13, 2006
Last NPPES UpdateSeptember 25, 202558 updates tracked since enumeration
✔ NPI 1912919424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NC · 2013-02152
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2013-02152 (NC)
Also ListedPediatricsTaxonomy 208000000X · License 2013-02152 (NC)
1350 S KINGS DR, Charlotte, NC 28207
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12301 US Highway 74 WWadesboro, NC 28170-7554 · Phone (704) 994-4500
Location 21100 Blythe BlvdCharlotte, NC 28203-5814 · Phone (704) 355-4300
Location 31001 Blythe Blvd, Medical Center Plaza, Suite 200Charlotte, NC 28203-5866 · Phone (704) 381-8840
Location 41000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.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

James N. Horstmann Md 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 ID2668596966
PECOS Enrollment IDI20140113000999
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 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.

KRISTINA JASMIN HARRELL MD
Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1422
WILLIAM LANE JR. MD
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
LYNN AMY BOARDMAN MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ALKA H PATEL PHARMD
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1405
PAULA JEANETTE LASTORIA FNP
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1255
GRANT BLANCHARD MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ASHLYNN BRISBEN OVERCASH NP
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
STACEY HAYNES ARCHER CNM
Advanced Practice Midwife
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544

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 James Horstmann's NPI number?

The NPI number for James Horstmann is 1912919424. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is James Horstmann located?

James Horstmann practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1422.

What is James Horstmann's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is James Horstmann enrolled in Medicare?

Yes. James Horstmann 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 James Horstmann accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and Oscar Health Plan of North Carolina, Inc list James Horstmann 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 James Horstmann 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.