Active NPI
Elizabeth Joy Maxwell, FNP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5006964
- Practice address
- 10620 Park Rd Ste 202
Charlotte, NC 28210-0106 - Phone
- (704) 512-3988
- NPI assigned
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5006964 | NC | |
| Nurse Practitioner | 363L00000X | 5006964 | NC | Primary |
Addresses
Primary practice location
10620 Park Rd Ste 202
Charlotte, NC 28210-0106
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
200 Greenwich Rd
Charlotte, NC 28211-2316
Phone (704) 384-8680
Other names 1
- Elizabeth Joy Nelson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ENELSON166891@DIRECT.NOVANTHEALTH.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141022002456 | NC | Practitioner - Nurse Practitioner | 1850512591 | Reassigns benefits to 2 organizations |
| I20250908001539 | SC | Practitioner - Nurse Practitioner | 1850512591 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
10620 Park Rd
Suite 202
Charlotte, NC 28210-0106
Phone (704) 667-0920
270 Copperfield Blvd NE
Suite 102
Concord, NC 28025-2443
Phone (704) 786-6521
704 Gold Hill Rd
Suite 1200
Fort Mill, SC 29715-8906
Phone (704) 667-3380
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Carolinas Medical Center-Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients |
Locations
10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060
704 Gold Hill Rd
Ste 1200
Fort Mill, SC 29715
Phone (704) 667-3380
Interoperability endpoints
- emaxwell2957696@carolinashealthcaresystem.direct-ci.com
- enelson166891@direct.novanthealth.org
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
NC
-
- Internal Medicine Physician
- Concord, NC
- NPI 1023006707
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
-
- Family Medicine Physician
- Fort Mill, SC
- NPI 1568610889
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1144336587
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
Hospital
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1679989180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10620 PARK RD STE 202",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100106",
"telephone_number": "704-512-3988"
}
],
"practiceLocations": [
{
"address_1": "200 Greenwich Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282112316",
"country_code": "US",
"telephone_number": "704-384-8680",
"fax_number": "704-384-8684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAXWELL",
"first_name": "ELIZABETH",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5006964",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5006964",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ENELSON166891@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "200 Greenwich Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282112316",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "NELSON",
"middle_name": "JOY",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
- Maxim Habilitation Services, LLC
- Maxim Healthcare Services, Inc.
- Maxim Healthcare Services, Inc.
- Maximus Won Care Consulting Services, LLC
- Andrea Gayle Maxwell, OTR/L
- Emily Catherine Maxwell
- Kristen M. Maxwell, NP
- Lauren Elizabeth Maxwell
- Leigh Hanna Maxwell, CADC-R
- Linda S. Maxwell, M.A., L.P.A., C.H.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.