Active NPI
Shernette Samuels-Bremnor
- Family Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5021392
- Practice address
- 10135 Florentine Way
Charlotte, NC 28214-0504 - Phone
- (914) 338-6557
- NPI assigned
- Dec 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5021392 | NC | Primary |
Addresses
Primary practice location
10135 Florentine Way
Charlotte, NC 28214-0504
Mailing address
10135 Florentine Way
Charlotte, NC 28214-0504
Phone (914) 338-6557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
969 Cox Rd
Gastonia, NC 28054-3455
Phone (248) 660-1220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5021392 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care PLLC | Family | Current | Accepting new patients |
| Siuc Medical PC | Current | Accepting new patients | |
| Rd Medical Professional Services PC | Current | Accepting new patients | |
| Complexcare Medical Group Mid-Atlantic H PLLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| 1211 WPR Medical Services PC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Theoria Medical | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521
969 Cox Rd
Gastonia, NC 28054
Phone (704) 266-8596
430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116
2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401
6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
442 S Highway 27
Stanley, NC 28164
Phone (704) 263-1416
326 E 149th St
Bronx, NY 10451
Phone (718) 585-6100
1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338
228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436
140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
612 Corporate Way
Ste 1M
Vly Cottage, NY 10989
Phone (718) 732-3634
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- shernettesamuels-bremnor@cmdci.allscriptsdirect.net
- shernette.samuels-bremnor.1@24989.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1275427429
NC
-
- Family Medicine Physician
- Staten Island, NY
- NPI 1811643166
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1467826594
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1437247509
-
- Family Nurse Practitioner
- Spring, TX
- NPI 1770354763
-
- Internal Medicine Physician
- Brighton, MI
- NPI 1164186946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1346846995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10135 FLORENTINE WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282140504",
"telephone_number": "914-338-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10135 FLORENTINE WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282140504",
"telephone_number": "914-338-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS-BREMNOR",
"first_name": "SHERNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-09",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5021392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.