Individual provider Active NPI

Janelle Kristen Pisauro, PA

  • Physician Assistant
  • Matthews, NC
National Provider Identifier
1497648109
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001015785 Issued in NC
Practice address
855 Sam Newell Rd Ste 204
Matthews, NC 28105-7594
Phone
(980) 202-6643
NPI assigned
May 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001015785 NC Primary

Addresses

Primary practice location

855 Sam Newell Rd Ste 204
Matthews, NC 28105-7594

Mailing address

PO Box 604050
Charlotte, NC 28260-4050
Phone (980) 202-6643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260202002916 NC Practitioner - Physician Assistant 1658859491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NH-CL Clinics LLCGroup PAC ID 6305262692, 82 clinicians

Practice addresses (Care Compare)

855 Sam Newell Rd
Suite 204
Matthews, NC 28105-7594
Phone (980) 202-6643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001015785NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NH-CL Clinics, LLC CurrentSince Dec 26, 2025 Accepting new patients

Locations

15015 Lancaster Hwy
Ste 200
Charlotte, NC 28277
Phone (980) 202-7980

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

855 Sam Newell Rd
Ste 204
Matthews, NC 28105
Phone (980) 202-6643

Organizations & group practices 1

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": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1497648109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604050",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604050",
            "telephone_number": "980-202-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SAM NEWELL RD STE 204",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057594",
            "telephone_number": "980-202-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISAURO",
        "first_name": "JANELLE",
        "middle_name": "KRISTEN",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001015785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.