Individual provider Active NPI

Shernette Samuels-Bremnor

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1346846995
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021392 Issued in NC
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

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20220328001657 NY Practitioner - Nurse Practitioner 5395130454 Reassigns benefits to 2 organizations
I20250312001919 NC Practitioner - Nurse Practitioner 5395130454 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
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

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

LicenseStateTypeSpecialty
5021392NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care PLLC Family CurrentSince Feb 18, 2025 Accepting new patients
Siuc Medical PC CurrentSince Jul 1, 2022 Accepting new patients
Rd Medical Professional Services PC CurrentSince Mar 1, 2022 Accepting new patients
Complexcare Medical Group Mid-Atlantic H PLLC CurrentSince Sep 17, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 16, 2026 Accepting new patients
1211 WPR Medical Services PC CurrentSince Jul 1, 2022 Accepting new patients
Theoria Medical CurrentSince Jan 13, 2025 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

  • Direct secure messaging: shernettesamuels-bremnor@cmdci.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.