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REGINA PLOHAL FNP
NPI 1932637634
Nurse Practitioner in Huntersville, NC

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
10210 HICKORYWOOD HILL AVE STE 200, HUNTERSVILLE, NC 28078(704) 931-3375(704) 601-7808 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2025, May 8, 2025, May 3, 2022 and 4 more (7 updates tracked since 2017).

About Regina Plohal Fnp NPPES

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

REGINA PLOHAL FNP (NPI 1932637634) is an individual nurse practitioner in Huntersville, North Carolina, licensed in North Carolina (5011197) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1932637634
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameREGINA PLOHALCredential: FNP
Location Address10210 HICKORYWOOD HILL AVE STE 200Huntersville, NC 28078-3417
Mailing Address10210 Hickorywood Hill Ave Ste 200Huntersville, NC 28078-3417 · (704) 931-3376 · Fax (704) 601-7808
Phone(704) 931-3375
Fax(704) 601-7808
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 25, 2017
Last NPPES UpdateAugust 12, 20257 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1932637634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5011197
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 116288 (OK)
10210 HICKORYWOOD HILL AVE STE 200, Huntersville, NC 28078
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1804 E Main StAntlers, OK 74523-2613 · Phone (918) 426-1616
Location 21030 E Washington AveMcAlester, OK 74501-4850 · Phone (918) 426-1616

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Regina Plohal 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 ID749559185
PECOS Enrollment IDI20190130000601
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 Billing Reassignments

2

Medicare enrollment records show Regina Plohal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Plohal Dermatology PLLC
Same address
Dermatology
10210 HICKORYWOOD HILL AVE STE 200
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1912894395 (704) 931-3376
Novant Health Medical Group LLC
Same address
Obstetrics & Gynecology
14330 OAKHILL PARK LN STE 200
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1477276699 (704) 384-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
550 services88 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
331 services218 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
154 services116 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
107 services84 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
54 services54 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
46 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA MARIE HARRISON AGNP-BC
Nurse Practitioner
10210 HICKORYWOOD HILL AVE STE 200
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 274-9084
CREATE U MEDICAL WEIGHT LOSS, PLLC
Clinic/Center (Multi-Specialty)
10210 HICKORYWOOD HILL AVE STE 200
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 781-8170
PLOHAL DERMATOLOGY PLLC
Dermatology
10210 HICKORYWOOD HILL AVE STE 200
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 931-3376

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 Regina Plohal's NPI number?

The NPI number for Regina Plohal is 1932637634. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Regina Plohal located?

Regina Plohal practices at 10210 Hickorywood Hill Ave Ste 200, Huntersville, NC 28078. The listed phone number is (704) 931-3375.

What is Regina Plohal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Regina Plohal enrolled in Medicare?

Yes. Regina Plohal 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.

Which organizations bill Medicare for Regina Plohal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Regina Plohal reassigns Medicare benefits to 2 organizations: Plohal Dermatology PLLC (Huntersville, NC) and Novant Health Medical Group LLC (Huntersville, NC). 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 Regina Plohal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Regina Plohal accept?

Health plans from Blue Cross and Blue Shield of NC list Regina Plohal 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 Regina Plohal was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.