Susannah Kelly Short, FNP - Medicare Nurse Practitioner in Charlotte, NC

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Susannah Kelly Short, FNP is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Arboretum Urgent Care Center, Carolinas Physicians Network Inc, Eastland Urgent Care, Steele Creek Urgent Care and her current practice location is 1426 E Morehead St, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 446-6090.

Susannah Kelly Short is licensed to practice in North Carolina (license number 5012828) 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 1063044063.

Contact Information

Susannah Kelly Short, FNP
1426 E Morehead St,
Charlotte, NC 28204-2926
(704) 446-6090
Not Available

Map and Direction




Provider's Profile

Full NameSusannah Kelly Short
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1426 E Morehead St, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Susannah Kelly Short graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1063044063
  • Provider Enumeration Date: 02/07/2020
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3971932013
  • Enrollment ID: I20200410001753

Medical Identifiers

Medical identifiers for Susannah Kelly Short such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063044063NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5012828 (North Carolina)Primary
363L00000XNurse Practitioner 5012828 (North Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arboretum Urgent Care Center832505999126
Carolinas Physicians Network Inc33754496551613
Eastland Urgent Care630585259128
Steele Creek Urgent Care923413090722

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. Susannah Kelly Short allows following entities to bill medicare on her behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Entity NameEastland Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467481127
PECOS PAC ID: 6305852591
Enrollment ID: O20060224000538
Entity NameArboretum Urgent Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457380313
PECOS PAC ID: 8325059991
Enrollment ID: O20060510000344
Entity NameSteele Creek Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750317921
PECOS PAC ID: 9234130907
Enrollment ID: O20070123000481

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. Susannah Kelly Short 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 AddressPractice Location Address
Susannah Kelly Short, FNP
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -		Susannah Kelly Short, FNP
1426 E Morehead St,
Charlotte, NC 28204-2926

Ph: (704) 446-6090

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.