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

Pornpilai Keck, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1558738922

Pornpilai Keck, NURSEPRACTITIONER is a Nurse Practitioner in Charlotte, North Carolina. Graduated from New York University School of Medicine in 2014, 12 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
12
Trained at
New York University School of Medicine
Licensed in
NC, NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

108 Providence Rd
Charlotte, NC 28207-1218
Phone: (336) 481-8655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1450 Matthews Township Pkwy Ste 350, Matthews, NC 28105-2388 — (704) 841-8877

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5020321 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence F307124 (NY)

Record details

NPI number1558738922
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedSeptember 1, 2015
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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