Kenyon Lee Draper, NP - Medicare Nurse Practitioner in Charlotte, NC

Kenyon Lee Draper, NP is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Atrium Health North Market Network Llc and his current practice location is 4815 Johnston Oehler Rd, Ste 100, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 801-7310.

Kenyon Lee Draper is licensed to practice in North Carolina (license number 5005928) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144573197.

Contact Information

Kenyon Lee Draper, NP
4815 Johnston Oehler Rd, Ste 100,
Charlotte, NC 28269-1065
(704) 801-7310
Not Available

Map and Direction




Provider's Profile

Full NameKenyon Lee Draper
GenderMale
SpecialityNurse Practitioner
Experience13 Years
Location4815 Johnston Oehler Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenyon Lee Draper graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1144573197
  • Provider Enumeration Date: 10/16/2012
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4587899513
  • Enrollment ID: I20131029002040

Medical Identifiers

Medical identifiers for Kenyon Lee Draper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144573197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 5005928 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 5005928 (North Carolina)Secondary
363L00000XNurse Practitioner 5005928 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital
Atrium Health LincolnLincolnton, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Atrium Health North Market Network Llc1557743440104

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. Kenyon Lee Draper allows following entities to bill medicare on his behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Entity NameAtrium Health North Market Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871112920
PECOS PAC ID: 1557743440
Enrollment ID: O20220809003741

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. Kenyon Lee Draper 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
Kenyon Lee Draper, NP
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Kenyon Lee Draper, NP
4815 Johnston Oehler Rd, Ste 100,
Charlotte, NC 28269-1065

Ph: (704) 801-7310

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.