Individual provider Active NPI

Mary Katherine Regnery, NP

  • Family Medicine Physician
  • Monroe, NC
National Provider Identifier
1295355709
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5015591 Issued in NC
Practice address
404 S Sutherland Ave
Monroe, NC 28112-5060
Phone
(704) 291-9267
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 292295 NC
Family Medicine Physician 207Q00000X 5015591 NC Primary

Addresses

Primary practice location

404 S Sutherland Ave
Monroe, NC 28112-5060

Mailing address

14020 Camden Close Dr
Huntersville, NC 28078-9247
Phone (919) 616-4156

Other practice location 1

10620 Park Rd Ste 202
Charlotte, NC 28210-0106
Phone (704) 512-3988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220602002785 NC Practitioner - Nurse Practitioner 8426436403 Reassigns benefits to 5 organizations
I20251119002892 SC Practitioner - Nurse Practitioner 8426436403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
First Care Medical Clinic, PAGroup PAC ID 5395641823, 14 clinicians

Practice addresses (Care Compare)

10620 Park Rd
Suite 202
Charlotte, NC 28210-0106
Phone (704) 667-0920

404 S Sutherland Ave
Monroe, NC 28112-5060
Phone (704) 291-9267

5801 Executive Ctr Dr
Suite 100
Charlotte, NC 28212-8870
Phone (704) 863-1550

704 Gold Hill Rd
Suite 1200
Fort Mill, SC 29715-8906
Phone (704) 667-3380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
292295NCMDRegistered Nurse
5015591NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Family Medicine Current Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Dec 8, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 8, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Dec 8, 2025 Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Dec 8, 2025 Accepting new patients
First Care Medical Clinic, PA Family Medicine Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 8, 2025 Accepting new patients
First Care Medical Clinic Family Medicine CurrentSince Apr 18, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Family Medicine CurrentSince Dec 8, 2025 Accepting new patients
Carolinas Physicians Network, Inc Family Medicine CurrentSince Dec 8, 2025 Accepting new patients
Carolinas Medical Center Family Medicine CurrentSince Dec 8, 2025 Accepting new patients
First Care Medical Clinic Family Medicine CurrentSince Apr 18, 2022 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Medical Center Past Accepting new patients

Locations

9040 Nations Ford Rd
Charlotte, NC 28273
Phone (704) 225-8548

2938 The Plaza
Charlotte, NC 28205
Phone (704) 375-0404

5801 Executive Center Dr
Ste 100
Charlotte, NC 28212
Phone (704) 567-1977

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1801 Rozzelles Ferry Rd
Charlotte, NC 28208
Phone (704) 446-9987

3030 Randolph Rd
Ste 102A
Charlotte, NC 28211
Phone (704) 444-5881

2001 Vail Ave
Ste 400
Charlotte, NC 28207
Phone (704) 304-7000

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

309 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 446-2360

251 Eastway Dr
Charlotte, NC 28213
Phone (704) 446-9991

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

2450 Aberdeen Blvd
Gastonia, NC 28054
Phone (704) 228-9194

201 Dale Earnhardt Blvd
Ste 200
Kannapolis, NC 28081
Phone (704) 403-7300

210 Main St E
Locust, NC 28097

404 S Sutherland Ave
Monroe, NC 28112

4429 W Highway 27
Vale, NC 28168
Phone (704) 748-2245

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

704 Gold Hill Rd
Ste 1200
Fort Mill, SC 29715
Phone (704) 667-3380

1462 Constitution Blvd
Rock Hill, SC 29732
Phone (803) 909-4040

Interoperability endpoints

  • Direct secure messaging: mregnery91112@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1295355709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14020 CAMDEN CLOSE DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789247",
            "telephone_number": "919-616-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S SUTHERLAND AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125060",
            "telephone_number": "704-291-9267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10620 Park Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282100106",
            "country_code": "US",
            "telephone_number": "704-512-3988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGNERY",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "292295",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5015591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.