Individual provider Active NPI

Richard Daniel Bates Jr., FNP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1891754800
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201249 Issued in NC
Practice address
9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930
Phone
(704) 526-3648
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 42165 TN
Family Nurse Practitioner 363LF0000X 4060570 KY
Nurse Practitioner 363L00000X 201249 NC Primary
Family Nurse Practitioner 363LF0000X 201249 NC

Addresses

Primary practice location

9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930

Mailing address

9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930
Phone (866) 389-2727

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
I20050331001101 NC Practitioner - Nurse Practitioner 4486601515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 clinicians

Practice addresses (Care Compare)

550 Glenwood Dr
Mooresville, NC 28115-2876
Phone (704) 664-7494

Merit-based Incentive Payment System (MIPS)

Final score
85.46 of 100Reported as group
Quality
80.45
Improvement activities
40
Cost
87.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201249NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Telos Health Systems NC PLLC CurrentSince Jun 13, 2024 Accepting new patients
Charlotte Primary Care, PA PastSince Jan 6, 2010 Accepting new patients
Physicians Eldercare PA Past Accepting new patients
Charlotte Lung and Health Center PastSince Oct 1, 2000 Accepting new patients

Locations

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

1000 College St
Wilkesboro, NC 28697
Phone (336) 838-4141

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1891754800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 NORTHLAKE CENTRE PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168930",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 NORTHLAKE CENTRE PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168930",
            "telephone_number": "704-526-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "RICHARD",
        "middle_name": "DANIEL",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "42165",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4060570",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201249",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.