Active NPI
Mary Katherine Regnery, NP
- Family Medicine Physician
- Monroe, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5015591
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 292295 | NC | MD | Registered Nurse |
| 5015591 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| First Care Medical Clinic, PA | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| First Care Medical Clinic | Family Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network, Inc | Family Medicine | Current | Accepting new patients |
| Carolinas Medical Center | Family Medicine | Current | Accepting new patients |
| First Care Medical Clinic | Family Medicine | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Lancaster, SC
- NPI 1962858662
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1063567428
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1588673636
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.