Individual provider Active NPI

Megan Laura Wlodarczyk

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1295418010
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018739 Issued in NC
Practice address
4100 Carmel Rd
Charlotte, NC 28226-6150
Phone
(704) 542-9210
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X WLOD-9AAHA NC
Family Nurse Practitioner 363LF0000X 5018739 NC Primary

Addresses

Primary practice location

4100 Carmel Rd
Charlotte, NC 28226-6150

Mailing address

4100 Carmel Rd
Charlotte, NC 28226-6150
Phone (704) 542-9210

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
I20231108002264 NC Practitioner - Nurse Practitioner 8224485552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians
Southern Mobile Medical Group PAGroup PAC ID 8820528508, 7 clinicians

Practice addresses (Care Compare)

4100 Carmel Rd
Charlotte, NC 28226-6150
Phone (866) 389-2727

5804 Monroe Rd
Suite C
Charlotte, NC 28212-6183
Phone (385) 499-5535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WLOD-9AAHANCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Mar 17, 2024 Accepting new patients
Southern Mobile Medical Group PA CurrentSince Sep 22, 2025 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Sep 21, 2023 Accepting new patients

Locations

5804 Monroe Rd
Ste C
Charlotte, NC 28212
Phone (385) 499-5535

4100 Carmel Rd
Ste F
Charlotte, NC 28226

4100 Carmel Rd
Charlotte, NC 28226
Phone (704) 542-1806

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1295418010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 CARMEL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266150",
            "telephone_number": "704-542-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CARMEL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266150",
            "telephone_number": "704-542-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLODARCZYK",
        "first_name": "MEGAN",
        "middle_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "WLOD-9AAHA",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.