Active NPI
Susie Hurley, FNP
- Family Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5005194
- Practice address
- 1021 Morehead Medical Dr
Ste a
Charlotte, NC 28204-2990 - Phone
- (980) 442-2000
- NPI assigned
- Dec 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5005194 | NC | Primary |
Addresses
Primary practice location
1021 Morehead Medical Dr
Ste a
Charlotte, NC 28204-2990
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1550 Faulk St
Monroe, NC 28112-5086
Phone (980) 442-0430
Other practice location 2
4525 Cameron Valley Pkwy
Ste 3500
Charlotte, NC 28211-4369
Phone (704) 302-8300
Other practice location 3
945 N 5th St
Albemarle, NC 28001-3417
Phone (980) 323-7790
Other practice location 4
100 Medical Park Dr
Ste 110
Concord, NC 28025-2948
Phone (704) 403-1370
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1021 Morehead Medical Dr
Suite a
Charlotte, NC 28204-2990
Phone (980) 442-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4052 | SC | MD | General Practice Dentistry |
| 5005194 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| United Sleep Medicine Associates PA | Past | Accepting new patients |
Locations
945 N 5th St
Albemarle, NC 28001
Phone (980) 323-7790
1021 Morehead Medical Dr
Ste A
Charlotte, NC 28204
Phone (704) 355-2884
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
4525 Cameron Valley Pkwy
Ste 3500
Charlotte, NC 28211
Phone (704) 302-8300
100 Medical Park Dr
Ste 110
Concord, NC 28025
Phone (704) 403-1370
1550 Faulk St
Monroe, NC 28112
Phone (980) 442-0430
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- ambulatory@direct.carolinashealthcare.org
- shurley293283@carolinashealthcaresystem.direct-ci.com
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 and National Provider Directory roles.
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Surgical Oncology Physician
- Charlotte, NC
- NPI 1508135799
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
- Sleep Disorder Diagnostic Clinic/Center
- Charlotte, NC
- NPI 1033172960
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1154651008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 MOREHEAD MEDICAL DR",
"address_2": "STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042990",
"telephone_number": "980-442-2000"
}
],
"practiceLocations": [
{
"address_1": "1550 Faulk St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281125086",
"country_code": "US",
"telephone_number": "980-442-0430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4525 Cameron Valley Pkwy",
"address_2": "Ste 3500",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114369",
"country_code": "US",
"telephone_number": "704-302-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "945 N 5th St",
"address_purpose": "LOCATION",
"city": "Albemarle",
"state": "NC",
"postal_code": "280013417",
"country_code": "US",
"telephone_number": "980-323-7790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Park Dr",
"address_2": "STE 110",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252948",
"country_code": "US",
"telephone_number": "704-403-1370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURLEY",
"first_name": "SUSIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-28",
"last_updated": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5005194",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1021 Morehead Medical Dr",
"address_2": "Ste A",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282042990",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.