Individual provider Active NPI

Charlesetta Marie Sterling, CRNA

  • Certified Registered Nurse Anesthetist
  • Brown Summit, NC
National Provider Identifier
1427338607
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
111812 Issued in NC
Practice address
5715 Yacthsman CT
Brown Summit, NC 27214
Phone
(336) 601-6803
NPI assigned
Aug 19, 2011
Last updated
Jun 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 111812 NC Primary
Registered Nurse 163W00000X 11812 NC

Addresses

Primary practice location

5715 Yacthsman CT
Brown Summit, NC 27214

Mailing address

5715 Yachtsman CT
Browns Summit, NC 27214-9090
Phone (336) 601-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000568 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254505340 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3718NCMDMental Health Counselor
11812NCMDRegistered Nurse
111812NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Feb 1, 2023 Accepting new patients
American Anesthesiology of North Carolina, PLLC CurrentSince Dec 9, 2012 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2012 Accepting new patients
Sampson Regional Medical Services, LLC Current Accepting new patients
Sampson Regional Medical Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2017 Accepting new patients

Locations

603 Beaman St
Ste 200
Clinton, NC 28328
Phone (910) 592-8711

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1427338607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 YACHTSMAN CT",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149090",
            "telephone_number": "336-601-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 YACTHSMAN CT",
            "city": "BROWN SUMMIT",
            "state": "NC",
            "postal_code": "27214",
            "telephone_number": "336-601-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLING",
        "first_name": "CHARLESETTA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "111812",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "11812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Summit, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.