KANITRA SHAVON CLYBURN NP
NPI 1497131031
Nurse Practitioner in Charlotte, NC
NPI Status: Active since August 05, 2015
Contact Information
13640 STEELECROFT PKWY
STE 210
CHARLOTTE, NC
ZIP 28278
Phone: (704) 512-6100
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
About KANITRA CLYBURN
This page provides the complete NPI Profile along with additional information for Kanitra Clyburn, a provider established in Charlotte, North Carolina with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1497131031 assigned on August 2015. The practitioner's primary taxonomy code is 363L00000X with license number 5007846 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1497131031
- Provider Name
- KANITRA SHAVON CLYBURN NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 13640 STEELECROFT PKWY STE 210 CHARLOTTE, NC 28278
- Location Phone
- (704) 512-6100
- Mailing Address
- PO BOX 19305 CHARLOTTE, NC 28219
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-05-2015
- Last Update Date
- 07-15-2024
- Code Navigator
A nurse practitioner (NP) like Kanitra Clyburn is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 4501 Cameron Valley Pkwy Ste 100
Charlotte, NC 28211
(704) 367-7400 - 6235 Blakeney Park Dr Ste 100
Charlotte, NC 28277
(704) 512-5060 - 1350 S Kings Dr
Charlotte, NC 28207
(704) 446-1422 - 332 N Trade St Ste 1500
Matthews, NC 28105
(704) 512-6820
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5007846
- License State
- NC
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 5007846 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- InHealth Basic 1 - HMO
- InHealth Basic 1 + Adult Vision - HMO
- InHealth Basic 2 - HMO
- InHealth Basic Plus Standard - HMO
- InHealth Basic Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kanitra Clyburn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 28278 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 1 | 3 | 1 | 0 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 2 | 3 | 2 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 2 + 3 + 2 + 0 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1497131031 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841217460 | ELIZABETH NEALE RASPANTI M.D. Individual | Emergency Medicine | 13640 STEELECROFT PKWY CMC - STEEL CREEK CHARLOTTE, NC 28278 (704) 512-5200 |
| 1215036090 | MRS. HELEN STUPALSKY STERN RPH Individual | Pharmacist | 13640 STEELECROFT PKWY SUITE 120 CHARLOTTE, NC 28278 (704) 512-5300 |
| 1407185465 | MEDICAL ASSOCIATES OF ROCK HILL Organization | Internal Medicine | 13640 STEELECROFT PKWY SUITE 220 CHARLOTTE, NC 28278 (803) 328-0181 |
| 1124357124 | SHILAND FAMILY MEDICINE Organization | Family Medicine | 13640 STEELECROFT PKWY SUITE 320 CHARLOTTE, NC 28278 (803) 329-5131 |
| 1104148907 | JUDITH W. WOLHAR RPH Individual | Pharmacist | 13640 STEELECROFT PKWY SUITE 120 CHARLOTTE, NC 28278 (704) 512-5300 |
| 1619241866 | JOHN DALEY MARLOWE Individual | Physician Assistant | 13640 STEELECROFT PKWY CHARLOTTE, NC 28278 (704) 906-1711 |
| 1124394952 | LAURA F BENTON Individual | Lactation Consultant, Non-RN | 13640 STEELECROFT PKWY 210 CHARLOTTE, NC 28278 (704) 512-6100 |
| 1851313365 | JANET ANN FLOYD CNM Individual | Advanced Practice Midwife | 13640 STEELECROFT PKWY SUITE 240 CHARLOTTE, NC 28278 (704) 512-3860 |
| 1518339902 | DR. DUSTIN HUERTA DNP, FNP-C Individual | Nurse Practitioner | 13640 STEELECROFT PKWY CHARLOTTE, NC 28278 (704) 512-5100 |
| 1871038265 | ELISSA ANN BOLLING P.A. Individual | Physician Assistant | 13640 STEELECROFT PKWY CHARLOTTE, NC 28278 (704) 512-5500 |
| 1063444263 | CHARLES BALE MD Individual | Obstetrics & Gynecology | 13640 STEELECROFT PKWY STE 240 CHARLOTTE, NC 28278 (704) 512-3860 |
| 1609101666 | PIEDMONT GYNECOLOGICAL AND OBSTETRICAL ASSOCIATES Organization | Obstetrics & Gynecology | 13640 STEELECROFT PKWY STE 240 CHARLOTTE, NC 28278 (704) 512-3860 |
| 1194969329 | BEVERLY HOLMES CNM Individual | Advanced Practice Midwife | 13640 STEELECROFT PKWY STE 240 CHARLOTTE, NC 28278 (704) 512-3860 |
| 1023455425 | COLLEEN PETTREY MD Individual | Psychiatry & Neurology (Psychiatry) | 13640 STEELECROFT PKWY STE 320 CHARLOTTE, NC 28278 (704) 302-8900 |
| 1114161338 | CYNTHIA SPAULDING DELLINGER CNM Individual | Advanced Practice Midwife | 13640 STEELECROFT PKWY STE 240 CHARLOTTE, NC 28278 (704) 512-3860 |
| 1386960177 | MECKLENBURG MEDICAL GROUP Organization | Dermatology | 13640 STEELECROFT PKWY STE 320 CHARLOTTE, NC 28278 (704) 302-8900 |
| 1457684409 | CHS PHARMACY SERVICES, INC. Organization | Pharmacy (Community/Retail Pharmacy) | 13640 STEELECROFT PKWY SUITE 120 CHARLOTTE, NC 28278 (704) 512-5300 |
| 1780911339 | CHARLOTTE PEDIATRIC CLINIC Organization | Pediatrics | 13640 STEELECROFT PKWY STE 210 CHARLOTTE, NC 28278 (704) 512-6100 |
| 1740711076 | JOHN PASCHAL LICATA MD Individual | Pediatrics | 13640 STEELECROFT PKWY STE 210 CHARLOTTE, NC 28278 (704) 512-6100 |
| 1861589566 | KATHLEEN ANN SHORT MD Individual | Internal Medicine | 13640 STEELECROFT PKWY STE 320 CHARLOTTE, NC 28278 (704) 302-8900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497131031, enumerated in the NPI registry as an "individual" on August 05, 2015
The provider is located at 13640 Steelecroft Pkwy Ste 210 Charlotte, Nc 28278 and the phone number is (704) 512-6100
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 05, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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