Individual provider Active NPI

Jessica Carter, FNP

  • Family Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1609412998
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017042 Issued in NC
Practice address
16645 Birkdale Commons Pkwy
Ste 100
Huntersville, NC 28078-5669
Phone
(704) 801-7390
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 5017042 NC
Family Nurse Practitioner 363LF0000X 5017042 NC Primary

Addresses

Primary practice location

16645 Birkdale Commons Pkwy
Ste 100
Huntersville, NC 28078-5669

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

136 E 36th St
Ste 200
Charlotte, NC 28206-2018
Phone (704) 801-3400

Other practice location 2

20036 Zion Ave
Ste 100
Cornelius, NC 28031-8435
Phone (704) 801-7400

Other practice location 3

409 Olin Way
Ste 1200
Denver, NC 28037-9243
Phone (704) 801-7320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, 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
I20200204001738 OH Practitioner - Nurse Practitioner 6608202957 Reassigns benefits to 2 organizations
I20230124000807 NC Practitioner - Nurse Practitioner 6608202957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians

Practice addresses (Care Compare)

16645 Birkdale Commons Pkwy
Suite 100
Huntersville, NC 28078-5669
Phone (704) 801-7390

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5017042NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers CurrentSince Sep 28, 2020 Accepting new patients
Atrium Health North Market Network LLC CurrentSince Jan 3, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 3, 2023 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Oct 1, 2021 Accepting new patients
Muskingum Valley Health Centers CurrentSince Sep 28, 2020 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 3, 2023 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients

Locations

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

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

136 E 36th St
Ste 200
Charlotte, NC 28206
Phone (704) 801-3400

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

20036 Zion Ave
#100
Cornelius, NC 28031
Phone (704) 801-7400

409 Olin Way
Ste 1200
Denver, NC 28037
Phone (704) 801-7320

275 N NC 16 Business Hwy
Ste 104
Denver, NC 28037
Phone (704) 340-5852

16645 Birkdale Commons Pkwy
Ste 100
Huntersville, NC 28078
Phone (704) 801-7390

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

Dept L3652
Columbus, OH 43260

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

235 Kenwood Dr
Coshocton, OH 43812
Phone (740) 622-6474

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1609412998",
    "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": "16645 BIRKDALE COMMONS PKWY",
            "address_2": "STE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785669",
            "telephone_number": "704-801-7390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 E 36th St",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282062018",
            "country_code": "US",
            "telephone_number": "704-801-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20036 Zion Ave",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280318435",
            "country_code": "US",
            "telephone_number": "704-801-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 Olin Way",
            "address_2": "Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280379243",
            "country_code": "US",
            "telephone_number": "704-801-7320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2024-07-15",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.