Individual provider Active NPI

Jasmine T Cutlip, APRN,FNP-C

  • Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1629553532
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5014577 Issued in NC
Practice address
9735 Kincey Ave Ste 302
Huntersville, NC 28078-9120
Phone
(704) 766-1147
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5014577 NC Primary

Addresses

Primary practice location

9735 Kincey Ave Ste 302
Huntersville, NC 28078-9120

Mailing address

9735 Kincey Ave Ste 302
Huntersville, NC 28078-9120

Other identifiers 1

IdentifierTypeStateIssuer
5014577OtherNCNC BON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, 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
I20181213002432 WV Practitioner - Nurse Practitioner 7618212994
I20210811002423 NC Practitioner - Nurse Practitioner 7618212994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Gynecology and Wellness, PLLCGroup PAC ID 7618226465, 4 clinicians

Practice addresses (Care Compare)

2310 Randolph Rd
Suite B
Charlotte, NC 28207-1526
Phone (704) 650-7156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014577NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Gynecology & Wellness, PLLC CurrentSince Apr 17, 2023 Accepting new patients
Carolina Urology Partners PLLC CurrentSince Aug 5, 2021 Accepting new patients
Susan Capelle MD, PLLC CurrentSince Sep 15, 2018 Accepting new patients

Locations

2310 Randolph Rd
Ste B
Charlotte, NC 28207
Phone (704) 650-7156

9735 Kincey Ave
Ste 302
Huntersville, NC 28078
Phone (704) 414-2870

9735 Kincey Ave
Ste 201
Huntersville, NC 28078
Phone (704) 414-2865

128 Medical Park Rd
Ste 301
Mooresville, NC 28117
Phone (704) 660-3322

3496 University Ave
Star City, WV 26505
Phone (304) 599-7075

Interoperability endpoints

  • Direct secure messaging: jasmine.cutlip.p1@direct.cup.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1629553532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE STE 302",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE STE 302",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789120",
            "telephone_number": "704-766-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTLIP",
        "first_name": "JASMINE",
        "middle_name": "T",
        "credential": "APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BON",
            "identifier": "5014577",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.