Kimberly Spain, FNP
NPI 1104312396 · Nurse Practitioner · Charlotte, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Spain, FNP is a Nurse Practitioner provider in Charlotte, NC (NPI 1104312396).
Provider details
- NPI number
- 1104312396
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 5011041 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Tirzepatidebrand: Mounjaro | 25 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (4)
- 5717 Albemarle RdCharlotte, NC 28212-1634Phone: (704) 563-2150
- 5727 Prosperity Crossing DrSte 1100Charlotte, NC 28269-2206Phone: (704) 863-9930
- 10210 Couloak DrSte ECharlotte, NC 28216-7679Phone: (704) 801-2000
- 7810 Providence RdSte 102Charlotte, NC 28226-2954Phone: (704) 543-6636
Registry dates
- Enumerated
- 2018-07-10
- Last updated
- 2021-01-20
Frequently asked questions
- What is Kimberly Spain's NPI number?
- Kimberly Spain's National Provider Identifier (NPI) is 1104312396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Spain's specialty?
- Kimberly Spain is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Spain located?
- Kimberly Spain's practice location on file with NPPES is 14214 Ballantyne Lake Rd, Charlotte, NC 28277-3372.
- What is Kimberly Spain's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Spain is (704) 667-2650.
- Does Kimberly Spain accept Medicare?
- Kimberly Spain is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Spain's NPI active?
- Yes — Kimberly Spain's NPI (1104312396) is active in the NPPES registry as of the last update on 2021-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.