Individual provider Active NPI

Anne Klugo-Fetting, PA

  • Physician Assistant
  • Gastonia, NC
National Provider Identifier
1841260270
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08558 Issued in NC
Practice address
631 Cox Rd
Gastonia, NC 28054-3438
Phone
(704) 864-7764
Fax
(704) 867-7894
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052599 PA
Physician Assistant 363A00000X 0010-08558 NC Primary

Addresses

Primary practice location

631 Cox Rd
Gastonia, NC 28054-3438

Mailing address

5 Lady Diana Dr
Reading, PA 19605-1096
Phone (610) 910-4087

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
I20190619000828 NC Practitioner - Physician Assistant 1759341787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Albany Medical College of Union University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Urology Partners PLLCGroup PAC ID 8921280587, 37 clinicians

Practice addresses (Care Compare)

631 Cox Rd
Gastonia, NC 28054-3438
Phone (704) 864-7764

9735 Kincey Ave
Huntersville, NC 28078-9118

9735 Kincey Ave
Huntersville, NC 28078-9120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Urological Associates, P.a. PastSince Jul 17, 1995 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anne.klugofetting.p1@direct.cup.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1841260270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LADY DIANA DR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196051096",
            "telephone_number": "610-910-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543438",
            "telephone_number": "704-864-7764",
            "fax_number": "704-867-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUGO-FETTING",
        "first_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052599",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.