Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kathleen Kelly Peniston, NP

Individual provider Nurse Practitioner · NPI 1346260254

Kathleen Kelly Peniston, NP is a Nurse Practitioner in Charlotte, North Carolina. Graduated from Vanderbilt University School of Medicine in 2000, 26 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
26
Trained at
Vanderbilt University School of Medicine
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

501 Billingsley Rd Ste B
Charlotte, NC 28211-1009
Phone: (704) 444-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1255

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 950005 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 950005 (NC)

Record details

NPI number1346260254
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients53
Services billed 137 a service is one billed item, such as a visit, a test or a procedure
Average patient age60

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Carolinas Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1062 clinicians in the practice; 12 are shown here.

Other providers in Charlotte