Individual provider Active NPI

Sharleen Glass, NP

  • Adult Health Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1235680398
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5009110 Issued in NC
Practice address
2936 N Elm St Ste 102
Lumberton, NC 28358-2981
Phone
(910) 671-6619
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 256300 GA
Adult Health Nurse Practitioner 363LA2200X 5009110 NC Primary

Addresses

Primary practice location

2936 N Elm St Ste 102
Lumberton, NC 28358-2981

Mailing address

15940 Lovegrass LN
Wagram, NC 28396-6000
Phone (904) 403-0960

Other practice location 1

6200 Ramsey St Ste 150
Fayetteville, NC 28311-9314
Phone (910) 822-7722

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
I20170124000745 NC Practitioner - Nurse Practitioner 7315109816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Regional Physician ServicesGroup PAC ID 7012058548, 34 clinicians

Practice addresses (Care Compare)

2936 N Elm St
Suite 102
Lumberton, NC 28358-2981
Phone (910) 671-6619

Hospital & facility affiliations

  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
81.28
Promoting interoperability
100
Improvement activities
40
Cost
80.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256300GAMDAdult Health Nurse Practitioner
5009110NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Nov 8, 2021 Accepting new patients
BRMG-PC CurrentSince Sep 5, 2017 Accepting new patients
Southeastern Regional Physician Services CurrentSince Nov 8, 2021 Accepting new patients
Amber Upchurch, LLC PastSince Jan 8, 2023 Accepting new patients

Locations

640 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 526-7997

1249 Chicken Foot Rd
Ste C
Hope Mills, NC 28348
Phone (910) 735-8122

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

905 Rockford St
Mount Airy, NC 27030
Phone (336) 719-2440

1909 W Park Dr
North Wilkesboro, NC 28659
Phone (336) 667-1001

812 Candy Park Rd
Ste 5103
Pembroke, NC 28372
Phone (910) 671-6619

Interoperability endpoints

  • Direct secure messaging: sglass815785@direct.unc.nchie.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1235680398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15940 LOVEGRASS LN",
            "city": "WAGRAM",
            "state": "NC",
            "postal_code": "283966000",
            "telephone_number": "904-403-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 N ELM ST STE 102",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582981",
            "telephone_number": "910-671-6619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Ramsey St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283119314",
            "country_code": "US",
            "telephone_number": "910-822-7722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "SHARLEEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "256300",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5009110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.