Kimberly Wolf Luisana, RN FNP-BC - Medicare Nurse Practitioner in Charlotte, NC

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Kimberly Wolf Luisana, RN FNP-BC is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. 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) 949-0108.

Kimberly Wolf Luisana is licensed to practice in North Carolina (license number 5007365) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780081695.

Contact Information

Kimberly Wolf Luisana, RN FNP-BC
525 N Tryon St Ste 1600,
Charlotte, NC 28202-0213
(866) 949-0108
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Wolf Luisana
GenderFemale
SpecialityNurse Practitioner
Location525 N Tryon St Ste 1600, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780081695
  • Provider Enumeration Date: 11/21/2014
  • Last Update Date: 09/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6901123710
  • Enrollment ID: I20150316000671

Medical Identifiers

Medical identifiers for Kimberly Wolf Luisana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780081695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 236922 (North Carolina)Secondary
363L00000XNurse Practitioner 5007365 (North Carolina)Primary

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. Kimberly Wolf Luisana allows following entities to bill medicare on her behalf.
Entity NamePrivate Diagnostic Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577

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. Kimberly Wolf Luisana 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
Kimberly Wolf Luisana, RN FNP-BC
40 Smain, Ste 1300,
Memphis, TN 38103-5513

Ph: (866) 949-0108		Kimberly Wolf Luisana, RN FNP-BC
525 N Tryon St Ste 1600,
Charlotte, NC 28202-0213

Ph: (866) 949-0108

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.