Keri Cavallo, FNP-C in Charlotte, NC - Medicare Nurse Practitioner

Keri Cavallo, FNP-C is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dispatchhealth-ca, Pc, Dispatchhealth Washington Pc, Dispatchhealth-arizona, Dispatchhealth-texas P A, Dispatchhealth Pc and her current practice location is 525 N Tryon St Ste 1600, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (866) 849-0692.

Keri Cavallo is licensed to practice in California (license number 95006968) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265951727.

Contact Information

	Keri Cavallo, FNP-C
	525 N Tryon St Ste 1600, Charlotte, NC 28202-0213
	(866) 849-0692
	Not Available

Map and Direction

Provider's Profile

Full Name	Keri Cavallo
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	525 N Tryon St Ste 1600, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keri Cavallo graduated from nursing school in 2017

NPI Data:

NPI Number: 1265951727
Provider Enumeration Date: 09/15/2017
Last Update Date: 02/23/2026

Medicare PECOS Information:

PECOS PAC ID: 6709277122
Enrollment ID: I20211220000838

Medical Identifiers

Medical identifiers for Keri Cavallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265951727	NPI	-	NPPES
95006968	Other	CA	BRN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3-002863 (Alabama)	Secondary
363L00000X	Nurse Practitioner	C-APN.0105702-C-NP (Colorado)	Secondary
363L00000X	Nurse Practitioner	0024194424 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	1105908 (Texas)	Secondary
363L00000X	Nurse Practitioner	5020061 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	286807 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	95006968 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	10002048 (Oregon)	Secondary
363L00000X	Nurse Practitioner	APRN11045458 (Florida)	Secondary
363L00000X	Nurse Practitioner	95006968 (California)	Primary
363L00000X	Nurse Practitioner	850145 (Nevada)	Secondary
363LF0000X	Nurse Practitioner - Family	AP61368235 (Washington)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dispatchhealth-ca, Pc	4789086455	37
Dispatchhealth Washington Pc	2062765423	55
Dispatchhealth-arizona	7810268422	67
Dispatchhealth-texas P A	5395006035	60
Dispatchhealth Pc	2961815295	16

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keri Cavallo allows following entities to bill medicare on her behalf.

Entity Name	Dispatchhealth-ca, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639752553 PECOS PAC ID: 4789086455 Enrollment ID: O20210719000230

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keri Cavallo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keri Cavallo, FNP-C 423 Fair Dr, Costa Mesa, CA 92626-6232 Ph: () -	Keri Cavallo, FNP-C 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 Ph: (866) 849-0692

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
Mrs. Adrienne Dunlap Lane, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4109
Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Solim Tchedre, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Randolph Rd Ste 800, Charlotte, NC 28207 Phone: 704-384-1246 Fax: 704-384-6072

Keri Cavallo, FNP-C - Medicare Nurse Practitioner in Charlotte, NC