Individual provider Active NPI

Nina Cherry Arnold, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1740809599
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013069 Issued in NC
Practice address
8914 Cotton Press Rd
Charlotte, NC 28277-6676
Phone
(704) 890-8080
NPI assigned
Apr 13, 2020
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013069 NC Primary

Addresses

Primary practice location

8914 Cotton Press Rd
Charlotte, NC 28277-6676

Mailing address

2017 Aspen Way CT
Gastonia, NC 28054-0029
Phone (980) 329-6070

Other identifiers 1

IdentifierTypeStateIssuer
5013069OtherNCNCBON

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Charlotte

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
I20210208001359 NC Practitioner - Nurse Practitioner 2062826852 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
Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

111 Harrelson Rd
Cherryville, NC 28021-9541
Phone (704) 435-4161

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Urology Partners PLLC CurrentSince Feb 5, 2021 Accepting new patients
Physiatry Consultants of NC PLLC CurrentSince Aug 7, 2021 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1 Pond St
Arden, NC 28704
Phone 82877452220027

111 Harrelson Rd
Cherryville, NC 28021
Phone (704) 435-4161

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

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

515 S Generals Blvd
Lincolnton, NC 28092
Phone (704) 733-8065

1010 Lakeview Dr
Pineville, NC 28134
Phone (704) 889-2273

Interoperability endpoints

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

Organizations & group practices 2

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1740809599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 ASPEN WAY CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540029",
            "telephone_number": "980-329-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8914 COTTON PRESS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776676",
            "telephone_number": "704-890-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "NINA",
        "middle_name": "CHERRY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBON",
            "identifier": "5013069",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "address_1": "8914 Cotton Press Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282776676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.