Individual provider Active NPI

Alyssa D Sprouse, NP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1306581392
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5023563 Issued in NC
Practice address
5933 Blakeney Park Dr Ste 200
Charlotte, NC 28277-5763
Phone
(704) 295-3311
Fax
(704) 295-3322
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5023563 NC Primary
Nurse Practitioner 363L00000X 1070148 TX

Addresses

Primary practice location

5933 Blakeney Park Dr Ste 200
Charlotte, NC 28277-5763

Mailing address

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000

Other practice location 1

4775 Hamilton Wolfe Rd Ste 1
San Antonio, TX 78229-3456
Phone (210) 616-0283 ext. 2102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220929002218 TX Practitioner - Nurse Practitioner 3476939364 Reassigns benefits to 1 organization
I20260131000158 NC Practitioner - Nurse Practitioner 3476939364 Reassigns benefits to 1 organization

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
Texas Ear, Nose and Throat Specialists, PLLCGroup PAC ID 5799770202, 123 clinicians
Charlotte Eye Ear Nose and Throat Associates PAGroup PAC ID 0446155451, 181 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

21 Spurs LN
Suite 310
San Antonio, TX 78240-1679
Phone (210) 615-8332

5715 Rogers Rd
Suite 128
San Antonio, TX 78251-3764
Phone (210) 249-4838

5933 Blakeney Park Dr
Suite 200
Charlotte, NC 28277-5763
Phone (704) 295-3311

9301 Pinecroft Dr
Suite 150
Shenandoah, TX 77380-3182
Phone (281) 362-1368

9787 Charlotte Hwy
Fort Mill, SC 29707-8103
Phone (839) 293-0007

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1070148TXMDNurse Practitioner
5023563NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ear, Nose & Throat Specialists, PLLC CurrentSince Aug 25, 2023 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Family CurrentSince Dec 15, 2025 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, PA CurrentSince Dec 15, 2025 Accepting new patients
Noble Anesthesia Partners, PLLC Past Accepting new patients

Locations

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

5933 Blakeney Park Dr
Ste 200
Charlotte, NC 28277
Phone (704) 295-3311

10740 N Gessner Rd
Ste 310
Houston, TX 77064
Phone (281) 897-0416

4775 Hamilton Wolfe Rd
Ste 1
San Antonio, TX 78229
Phone (210) 616-0283

9301 Pinecroft Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 362-1368

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1306581392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103256",
            "telephone_number": "704-295-3000",
            "fax_number": "704-295-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 BLAKENEY PARK DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775763",
            "telephone_number": "704-295-3311",
            "fax_number": "704-295-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4775 Hamilton Wolfe Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293456",
            "country_code": "US",
            "telephone_number": "210-616-0283 x2102",
            "fax_number": "888-905-2614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "ALYSSA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023563",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1070148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.