DR. RENEE MARIE STULLICH MD
NPI 1922685429
Obstetrics & Gynecology in Charlotte, NC

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
MYERS PARK CLINIC OB/GYN, 1350 S. KINGS DR., CHARLOTTE, NC 28207(704) 446-1544(704) 446-1551 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Renee Marie Stullich Md NPPES

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

DR. RENEE MARIE STULLICH MD (NPI 1922685429) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (302840) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of University Of South Carolina School Of Medicine, Greenville (2021).

NPPES Registry Identity

NPI1922685429
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. RENEE MARIE STULLICHCredential: MD
Location AddressMYERS PARK CLINIC OB/GYN, 1350 S. KINGS DR.Charlotte, NC 28207
Mailing Address823 S Church St Apt 4307Greenville, SC 29601-4744
Fax(704) 446-1551
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of Medicine, GreenvilleGraduated 2021
Enumeration DateMarch 29, 2021
NPPES CertifiedMarch 25, 2021
NPI 1922685429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 302840
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
MYERS PARK CLINIC OB/GYN, Charlotte, NC 28207

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

Dr. Renee Marie Stullich 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 ID7719380203
PECOS Enrollment IDI20251217003021
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

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Renee Stullich's NPI number?

The NPI number for Renee Stullich is 1922685429. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Renee Stullich located?

Renee Stullich practices at Myers Park Clinic Ob/Gyn 1350 S. Kings Dr., Charlotte, NC 28207. The listed phone number is (704) 446-1544.

What is Renee Stullich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Renee Stullich enrolled in Medicare?

Yes. Renee Stullich 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.

Is Renee Stullich affiliated with any hospitals?

According to CMS data, Renee Stullich is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Renee Stullich was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.