Individual provider Active NPI

Lindsay Schalles, FNP

  • Nurse Practitioner
  • Fort Mill, SC
National Provider Identifier
1376971093
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25482 Issued in SC
Practice address
1057 Red Ventures Dr Ste 150
Fort Mill, SC 29707-2518
Phone
(803) 548-3708
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 5006554 NC
Nurse Practitioner 363L00000X 25482 SC Primary

Addresses

Primary practice location

1057 Red Ventures Dr Ste 150
Fort Mill, SC 29707-2518

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

1437 Scott Ave
Charlotte, NC 28203-5843
Phone (704) 446-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20131223001175 NC Practitioner - Nurse Practitioner 8729215637 Reassigns benefits to 2 organizations
I20231026003144 SC Practitioner - Nurse Practitioner 8729215637 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25482SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network, Inc CurrentSince Dec 1, 2020 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Medical Center CurrentSince Dec 9, 2019 Accepting new patients
Southeastern Hospitalist Services PC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Dec 9, 2019 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Hospice & Palliative Care Charlotte Region PastSince Apr 28, 2024 Accepting new patients
Carolinas Medical Center Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1010 Edgehill Rd N
Charlotte, NC 28207
Phone (704) 446-1900

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1437 Scott Ave
Charlotte, NC 28203
Phone (704) 446-1900

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJDHDD

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1376971093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 RED VENTURES DR STE 150",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297072518",
            "telephone_number": "803-548-3708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1437 Scott Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035843",
            "country_code": "US",
            "telephone_number": "704-446-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHALLES",
        "first_name": "LINDSAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006554",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "25482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.