Individual provider Active NPI

Sabrina Alicia McCluskey, FNP-BC

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1114167897
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004294 Issued in NC
Practice address
3210 Prosperity Church Rd Ste 103
Charlotte, NC 28269-8194
Phone
(980) 357-9300
Fax
(980) 357-9350
NPI assigned
Feb 20, 2009
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5004294 NC Primary

Addresses

Primary practice location

3210 Prosperity Church Rd Ste 103
Charlotte, NC 28269-8194

Mailing address

3210 Prosperity Church Rd Ste 103
Charlotte, NC 28269-8194
Phone (980) 357-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120821000726 NC Practitioner - Nurse Practitioner 2567619851 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners of North Carolina PC CurrentSince Jun 21, 2024 Accepting new patients
Caremore Medical Group of North Carolina, PC CurrentSince Jun 21, 2024 Accepting new patients
Galatians Foundation Nurse Practitioner CurrentSince Jan 19, 2026 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

1004 Dresser Ct
Ste 102
Raleigh, NC 27609
Phone (919) 556-1008

1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAEAED/Endpoint/AAEAED
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFJDD
  • Direct secure messaging: sabrina.mccluskey.1@12412.direct.athenahealth.com
  • Direct secure messaging: smccluskey392306@direct.novanthealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1114167897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 PROSPERITY CHURCH RD STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698194",
            "telephone_number": "980-357-9300",
            "fax_number": "980-357-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 PROSPERITY CHURCH RD STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698194",
            "telephone_number": "980-357-9300",
            "fax_number": "980-357-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUSKEY",
        "first_name": "SABRINA",
        "middle_name": "ALICIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.