MRS. AMY ZICKEFOOSE KUPSCO FNP
NPI 1962093195
Nurse Practitioner - Family in Charlotte, NC

Q: What is Amy Kupsco's NPI number?

The NPI number for Amy Kupsco is 1962093195. It was assigned to this individual provider in the NPPES registry on January 30, 2021.

Q: What is Amy Kupsco'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 Amy Kupsco was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 30, 2021PECOS EnrolledAccepts Medicare Assignment

3158 FREEDOM DR STE 3101, CHARLOTTE, NC 28208(704) 348-2992 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2025, Jul 11, 2023, Feb 11, 2021 and 1 more (4 updates tracked since 2021).

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About Mrs. Amy Zickefoose Kupsco Fnp NPPES

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

MRS. AMY ZICKEFOOSE KUPSCO FNP (NPI 1962093195) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (F01211463) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962093195

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. AMY ZICKEFOOSE KUPSCOCredential: FNP

Location Address3158 FREEDOM DR STE 3101Charlotte, NC 28208-0014

Mailing AddressPo Box 37938Charlotte, NC 28237-7938 · (704) 332-0396 · Fax (704) 971-0035

Phone(704) 348-2992

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 30, 2021

Last NPPES UpdateMarch 27, 20254 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1962093195 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 · F01211463

3158 FREEDOM DR STE 3101, Charlotte, NC 28208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Mrs. Amy Zickefoose Kupsco 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 ID5496162067

PECOS Enrollment IDI20210326000433, I20221203000342

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

19 services14 patients

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 28208 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 15

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

ADIT S MAHALE MD

Internal Medicine (Nephrology)