Individual provider Active NPI

Jessie Sachs, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1780354068
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013083 Issued in NC
Practice address
8316 Pineville Matthews Rd Ste 803
Charlotte, NC 28226-4754
Phone
(980) 296-2833
NPI assigned
Sep 17, 2021
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 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 5013083 NC Primary

Addresses

Primary practice location

8316 Pineville Matthews Rd Ste 803
Charlotte, NC 28226-4754

Mailing address

8316 Pineville Matthews Rd Ste 803
Charlotte, NC 28226-4754
Phone (980) 296-2833

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
I20250121000018 NC Practitioner - Nurse Practitioner 0941739023 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

15825 Ballantyne Medical PL
Suite 240
Charlotte, NC 28277-4790
Phone (855) 830-8346

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration NC PLLC CurrentSince Dec 9, 2024 Accepting new patients
Center for Vein Restoration NC PLLC CurrentSince Dec 9, 2024 Accepting new patients
Carolina Vein Specialists, P.a. PastSince Feb 12, 2007 Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

15825 Ballantyne Medical Pl
Ste 240
Charlotte, NC 28277
Phone 3019822000190

5309 Highgate Dr
Durham, NC 27713
Phone (919) 405-4200

5309 Highgate Dr
Ste 300
Durham, NC 27713

860 Summit Crossing Pl
Ste 120
Gastonia, NC 28054
Phone (704) 830-6374

1130 New Garden Rd
Greensboro, NC 27410
Phone (336) 218-8346

510 N Elam Ave
Ste 305
Greensboro, NC 27403

165 Turnberry Way
Pinehurst, NC 28374
Phone (910) 725-1708

1598 Westbrook Plaza Dr
Winston Salem, NC 27103
Phone (336) 765-1118

1605 Westbrook Plaza Dr
Ste 101
Winston Salem, NC 27103

Interoperability endpoints

  • Direct secure messaging: jessie.sachscrnp.p3@direct.cvr.nextgenshare.com

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, 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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1780354068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 PINEVILLE MATTHEWS RD STE 803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264754",
            "telephone_number": "980-296-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 PINEVILLE MATTHEWS RD STE 803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264754",
            "telephone_number": "980-296-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHS",
        "first_name": "JESSIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.