Dawn Bartock, NP
Individual provider Active NPI Nurse Practitioner · Charlotte, NC
NPI 1831477033 · NPPES record last updated Mar 2, 2020
Key facts
- NPI
- 1831477033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5007648 (NC)
- Practice address
- 1001 Blythe Blvd
Medical Center Plaza Suite 601
Charlotte, NC 28203-5866 - Phone
- (704) 381-9900
- NPI assigned
- Jul 22, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinas Medical Center
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
1001 Blythe Blvd
Charlotte, NC 28203-5866
Phone (704) 381-9900
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151202002958 | NC | Practitioner - Nurse Practitioner | 7719287432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Medical Center | Past | Accepting new patients |
Locations
1001 Blythe Blvd
Ste 200
Charlotte, NC 28203
Phone (704) 373-0544
1001 Blythe Blvd
Ste 601
Charlotte, NC 28203
Phone (704) 355-6930
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
100 Medical Park Dr
Ste 310
Concord, NC 28025
Phone (704) 403-2860
Interoperability endpoints
- dbartock64530@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5007648 | NC | Yes |
Addresses
Primary practice location
1001 Blythe Blvd
Medical Center Plaza Suite 601
Charlotte, NC 28203-5866
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
100 Medical Park Dr
Ste 310
Concord, NC 28025-2948
Phone (704) 403-2660
Other practice location 2
1001 Blythe Blvd
Medical Center Plaza, Suite 200
Charlotte, NC 28203-5866
Phone (704) 381-8840
Other providers in Charlotte, NC
- Terry Lee Bartlett Jr.
- Victoria Bartlett
- Amy Michelle Bartley
- Carrie Lynn Patterson Barto
- Rayna Barto
- Andrea Danielle Bartoli
- Benjamin Lee Barton
- Karen Thomas Barton
- Lori Jean Barton
- Margaret Anne Barton
All providers in Charlotte, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.