Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kayse Shay McGovern, APRN

Individual provider Pediatric Nurse Practitioner · NPI 1558637009

Kayse Shay McGovern, APRN is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2012, 14 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Florida, Illinois, Massachusetts and North Carolina and 1 more.

Years since qualifying
14
Licensed in
FL, IL, MA, NC, WI
In the registry since
2012
Specialties on file
6
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

10620 Park Rd Ste 202
Charlotte, NC 28210-0106
Phone: (704) 667-0920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1441 Branding Ave Ste 310, Downers Grove, IL 60515-5624 — (262) 693-4312

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 5020342 (NC)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN2270015 (MA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence APRN9416624 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209-033176 (IL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 102603-875 (WI)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence RN2270015 (MA)

Record details

NPI number1558637009
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 29, 2012
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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