Individual provider Active NPI

Miranda B Kilby, FNP

  • Family Nurse Practitioner
  • Shelby, NC
National Provider Identifier
1962686923
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
005003849 Issued in NC
Practice address
734 Cherryville Rd
Shelby, NC 28150-3625
Phone
(704) 214-2487
Fax
(866) 362-8414
NPI assigned
Dec 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 5003849 NC
Nurse Practitioner 363L00000X 5003849 NC
Family Nurse Practitioner 363LF0000X 005003849 NC Primary

Addresses

Primary practice location

734 Cherryville Rd
Shelby, NC 28150-3625

Mailing address

1019 N Lafayette St
Suite 1
Shelby, NC 28150-3746
Phone (704) 487-9766

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
I20100219000395 NC Practitioner - Nurse Practitioner 3577607126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as group
Quality
91.92
Improvement activities
40
Cost
82.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5003849NCMDNephrology Physician
005003849NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvatour PLLC CurrentSince Aug 3, 2025 Accepting new patients
Nephrology Associates of the Carolinas, P.a. Nephrology CurrentSince Feb 8, 2010 Accepting new patients

Locations

1019 N Lafayette St
#1
Shelby, NC 28150

1019 N Lafayette St
Ste 1
Shelby, NC 28150
Phone (704) 481-7904

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCJCBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1962686923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 N LAFAYETTE ST",
            "address_2": "SUITE 1",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503746",
            "telephone_number": "704-487-9766",
            "fax_number": "704-487-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 CHERRYVILLE RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503625",
            "telephone_number": "704-214-2487",
            "fax_number": "866-362-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBY",
        "first_name": "MIRANDA",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "5003849",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5003849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "005003849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.