Mrs Nichole Lowery Clontz, AGNP in Charlotte, NC

Mrs Nichole Lowery Clontz, AGNP is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acts Signature Community Services Inc and her current practice location is 2616 E 5th St, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 333-5165.

Mrs Nichole Lowery Clontz is licensed to practice in North Carolina (license number 5015868) 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 1912653742.

Contact Information

	Mrs Nichole Lowery Clontz, AGNP
	2616 E 5th St, Charlotte, NC 28204-4343
	(704) 333-5165
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Nichole Lowery Clontz
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	2616 E 5th St, 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:

Mrs Nichole Lowery Clontz graduated from nursing school in 2021

NPI Data:

NPI Number: 1912653742
Provider Enumeration Date: 03/02/2022
Last Update Date: 03/02/2022

Medicare PECOS Information:

PECOS PAC ID: 0345636783
Enrollment ID: I20220411002485

Medical Identifiers

Medical identifiers for Mrs Nichole Lowery Clontz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912653742	NPI	-	NPPES
5015868	Other	NC	STATE LICENSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5015868 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acts Signature Community Services Inc	5092032284	27

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. Mrs Nichole Lowery Clontz allows following entities to bill medicare on her behalf.

Entity Name	Acts Signature Community Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306201652 PECOS PAC ID: 5092032284 Enrollment ID: O20160517001001

Entity Name	Eventus Wholehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281

Entity Name	Norris Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396506028 PECOS PAC ID: 2668812231 Enrollment ID: O20240430001061

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. Mrs Nichole Lowery Clontz 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
Mrs Nichole Lowery Clontz, AGNP 8401 Medical Plaza Dr Ste 365, Charlotte, NC 28262-8700 Ph: (704) 944-0975	Mrs Nichole Lowery Clontz, AGNP 2616 E 5th St, Charlotte, NC 28204-4343 Ph: (704) 333-5165

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: Accepting Medicare Assignments 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
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840

Mrs Nichole Lowery Clontz, AGNP - Medicare Nurse Practitioner in Charlotte, NC