Individual provider Active NPI

Miesha Kindell, ARNP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1306202742
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009429 Issued in NC
Practice address
901 N Wendover Rd
Charlotte, NC 28211-1764
Phone
(980) 999-3975
Fax
(877) 675-1916
NPI assigned
Jan 14, 2016
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5009429 NC Primary

Addresses

Primary practice location

901 N Wendover Rd
Charlotte, NC 28211-1764

Mailing address

4700 Millenia Blvd Ste 650
Orlando, FL 32839-6013
Phone (980) 999-3975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171010003125 NC Practitioner - Nurse Practitioner 7911201926 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical NC PLLCGroup PAC ID 3870035066, 32 clinicians
Pai Participant 29 PCGroup PAC ID 6002216215, 23 clinicians

Practice addresses (Care Compare)

204 E Old Hwy 74
Monroe, NC 28112-8122
Phone (704) 800-0601

3724 Wireless Dr
Greensboro, NC 27455-3312
Phone (336) 540-9991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5009429NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NC) PC CurrentSince Jul 25, 2023 Accepting new patients
Centerwell Senior Primary Care NC JV PC CurrentSince Apr 17, 2023 Accepting new patients
Centerwell Senior Primary Care (NC) JV, P.C. CurrentSince Apr 17, 2023 Accepting new patients
Centerwell Senior Primary Care (NC), P.C. CurrentSince Jul 25, 2023 Accepting new patients
M Medical NC PLLC CurrentSince Jan 7, 2026 Accepting new patients
Centerwell Senior Primary Care NC JV PC Past Accepting new patients

Locations

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

4801 Randolph Rd
Charlotte, NC 28211
Phone (704) 364-8363

8727 Jw Clay Blvd
Charlotte, NC 28262
Phone (980) 999-1831

901 N Wendover Rd
Charlotte, NC 28211
Phone (980) 999-3975

901 N Wendover Rd
Ste D
Charlotte, NC 28211
Phone (980) 999-3975

2910 E Franklin Blvd
Ste 1
Gastonia, NC 28056
Phone (704) 648-0460

3724 Wireless Dr
Greensboro, NC 27455
Phone (336) 540-9991

17 Cornelia St
Lexington, NC 27292
Phone (336) 242-1349

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

500 Prospect Ave
Oxford, NC 27565
Phone (919) 692-1005

Interoperability endpoints

  • Direct secure messaging: miesha.kindell.1@29601.direct.athenahealth.com
  • Direct secure messaging: miesha.kindell@centerwell.eclinicaldirectplus.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1306202742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 650",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396013",
            "telephone_number": "980-999-3975",
            "fax_number": "877-675-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N WENDOVER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111764",
            "telephone_number": "980-999-3975",
            "fax_number": "877-675-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDELL",
        "first_name": "MIESHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.