Active NPI
Jacqueline D. Sharp, NP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5004422
- Practice address
- 10620 Park Rd
Ste 202
Charlotte, NC 28210-8472 - Phone
- (704) 667-0920
- NPI assigned
- Apr 13, 2007
- Last updated
- Sep 16, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209031632 | IL | |
| Nurse Practitioner | 363L00000X | 16806 | WI | |
| Nurse Practitioner | 363L00000X | 5004422 | NC | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 5004422 | NC |
Addresses
Primary practice location
10620 Park Rd
Ste 202
Charlotte, NC 28210-8472
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1001 Blythe Blvd
Medical Center Plaza, Suite 200
Charlotte, NC 28203-5866
Phone (704) 381-8840
Other practice location 2
1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624
Phone (262) 693-4312
Other practice location 3
14555 W National Ave
New Berlin, WI 53151-4494
Phone (262) 693-4312
Other practice location 4
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1422
Other practice location 5
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269-2206
Phone (704) 863-9930
Other practice location 6
7810 Providence Rd
Ste 102
Charlotte, NC 28226-2954
Phone (704) 543-6636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100331912 | Medicaid | WI |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsharp430559@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | jsharp392333@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IL, WI, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209031632 | IL | MD | Nurse Practitioner |
| 16806 | WI | MD | Nurse Practitioner |
| 5004422 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center-Northeast | Past | Accepting new patients | |
| Arboretum Urgent Care Center | Past | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
990 Veterans Memorial Hwy NE
#A
Rome, GA 30161
Phone (706) 291-4100
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1001 Blythe Blvd
Ste 200
Charlotte, NC 28203
Phone (704) 373-0544
10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
231 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 304-6400
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269
Phone (704) 863-9930
7810 Providence Rd
Ste 102
Charlotte, NC 28226
Phone (704) 393-4808
705 Griffith St
Ste 100
Davidson, NC 28036
Phone (704) 801-7900
709 N DeKalb St
Shelby, NC 28150
Phone (704) 403-2626
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
14555 W National Ave
Ste 140
New Berlin, WI 53151
Phone (262) 827-0480
Interoperability endpoints
- jsharp392333@carolinashealthcaresystem.direct-ci.com
- jsharp430559@direct.myadvocateaurora.org
Organizations & group practices 16
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.
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba Atrium Health Floyd Primary Care
- Family Medicine Physician
- Rome, GA
- NPI 1689610149
-
dba Atrium Health Pulmonary University
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Sports Medicine and Injury Care
- Sports Medicine (Internal Medicine) Physician
- Concord, NC
- NPI 1487091013
-
dba Advocate Christ Medical Group
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1235353673",
"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": "10620 PARK RD",
"address_2": "STE 202",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108472",
"telephone_number": "704-667-0920"
}
],
"practiceLocations": [
{
"address_1": "1001 Blythe Blvd",
"address_2": "Medical Center Plaza, Suite 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035866",
"country_code": "US",
"telephone_number": "704-381-8840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1441 Branding Ave Ste 310",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "605155624",
"country_code": "US",
"telephone_number": "262-693-4312",
"fax_number": "414-203-3788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14555 W NATIONAL AVE",
"address_purpose": "LOCATION",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531514494",
"country_code": "US",
"telephone_number": "262-693-4312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 S Kings Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072134",
"country_code": "US",
"telephone_number": "704-446-1422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5727 Prosperity Crossing Dr",
"address_2": "Ste 1100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282692206",
"country_code": "US",
"telephone_number": "704-863-9930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7810 Providence Rd",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282262954",
"country_code": "US",
"telephone_number": "704-543-6636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARP",
"first_name": "JACQUELINE",
"middle_name": "D.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209031632",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "16806",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5004422",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5004422",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100331912",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsharp430559@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1441 Branding Ave Ste 310",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605155624",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1441 Branding Ave Ste 310",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605155624",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsharp392333@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "10620 Park Rd",
"address_2": "Ste 202",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282108472",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
- Sharon L Holley DMD Monique D McEahern DDS Robert M Selden III DDS Ms (University Pediatric Dentistry)
- Sharon Lakes Medical Associates, PC
- Sharon's Roses LLC
- Barbara Ann Sharp, MSN, ACNP-BC
- Hadley Jean Sharp, M.D.
- Jessica Rae Sharp, DPT
- Devon Sharpe, MSW,LCSWA
- Ellison Bates Sharpe, LPCA, NCC
- Joseph Boyd Sharpe Jr., LATC
- Laura Cheney Sharpe, LPTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.