Individual provider Active NPI

Sarah Salvaggio, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1235532938
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5014394 Issued in NC
Practice address
10502 Park Rd Ste 100
Charlotte, NC 28210-6569
Phone
(980) 299-3926
Fax
(980) 299-6736
NPI assigned
Oct 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704311738 MI
Family Nurse Practitioner 363LF0000X RN2266518 MA
Nurse Practitioner 363L00000X 5014394 NC Primary

Addresses

Primary practice location

10502 Park Rd Ste 100
Charlotte, NC 28210-6569

Mailing address

7070 E Drive North
Battle Creek, MI 49014-8562
Phone (269) 660-1670

Other names 1

  • Sarah Slack Former name

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
I20210616000118 NC Practitioner - Nurse Practitioner 2769786037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Dermatology and Skin Surgery Specialists PLLCGroup PAC ID 3173891892, 39 clinicians

Practice addresses (Care Compare)

10502 Park Rd
Suite 100
Charlotte, NC 28210-6569
Phone (980) 299-3926

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014394NCMDNurse Practitioner
RN2266518MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Dermatology and Skin Surgery Specialists, PLLC CurrentSince Jun 21, 2021 Accepting new patients

Locations

10502 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 541-9092

7835 Paragon Rd
Dayton, OH 45459
Phone (937) 434-2351

5300 Far Hills Ave
Ste 300
Kettering, OH 45429
Phone (937) 433-7536

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1235532938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 E DRIVE NORTH",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148562",
            "telephone_number": "269-660-1670",
            "fax_number": "269-660-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 PARK RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106569",
            "telephone_number": "980-299-3926",
            "fax_number": "980-299-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVAGGIO",
        "first_name": "SARAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704311738",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2266518",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SLACK",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.