Active NPI
Lucinda Okyere Agbewali, DNP, FNP-C, PMHNP-BC
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5012294
- Practice address
- 3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179 - Phone
- (980) 302-8850
- Fax
- (704) 316-8118
- NPI assigned
- Oct 2, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5012294 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5012294 | NC | |
| Nurse Practitioner | 363L00000X | 5012294 | NC | Primary |
Addresses
Primary practice location
3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1246
Other practice location 1
1900 Randolph Rd Ste 800
Charlotte, NC 28207-1110
Phone (704) 384-1246
Other practice location 2
8936 Northpointe Executive Park Drive
Suite 240-260
Huntersville, NC 28078
Phone (980) 236-9244
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lokyere177529@direct.novant.org |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200420001747 | NC | Practitioner - Nurse Practitioner | 6406286251 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novant Health Medical Group, LLCGateway Charlotte Wellness LLC
Practice addresses (Care Compare)
1900 Randolph Rd
Suite 800
Charlotte, NC 28207-1110
Phone (704) 384-1246
8936 N Pointe Executive Park Dr
Suite 240 260
Huntersville, NC 28078-0801
Phone (980) 236-9244
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Americare Health, PC | Current | Accepting new patients | |
| Gateway Charlotte Wellness LLC | Nurse Practitioner | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Americare Health | Current | Accepting new patients |
Locations
1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171
1805 Milton Rd
Charlotte, NC 28215
Phone (704) 535-0400
3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187
13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050
8936 N Pointe Executive Park Dr
Ste 240260
Huntersville, NC 28078
Phone (980) 236-9244
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- lokyere177529@direct.novanthealth.org
Organizations & group practices 19
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Huntersville, NC
- NPI 1881316891
NC, Nurse Practitioner
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NC
-
- Foot & Ankle Surgery Podiatrist
- Thomasville, NC
- NPI 1235715582
-
- Foot Surgery Podiatrist
- Clemmons, NC
- NPI 1295110906
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Foot Surgery Podiatrist
- Kernersville, NC
- NPI 1386029254
-
- Primary Podiatric Medicine Podiatrist
- Winston Salem, NC
- NPI 1427398023
-
- Neurological Surgery Physician
- Winston Salem, NC
- NPI 1497080006
-
- Family Medicine Physician
- Wake Forest, NC
- NPI 1659571768
-
- Family Medicine Physician
- Salisbury, NC
- NPI 1750534038
-
- Foot Surgery Podiatrist
- Winston Salem, NC
- NPI 1851776728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1831730787",
"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",
"telephone_number": "704-384-1246",
"fax_number": "704-384-6072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 WHITEHALL PARK DR STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282734179",
"telephone_number": "980-302-8850",
"fax_number": "704-316-8118"
}
],
"practiceLocations": [
{
"address_1": "1900 Randolph Rd Ste 800",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071110",
"country_code": "US",
"telephone_number": "704-384-1246",
"fax_number": "704-384-6072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8936 Northpointe Executive Park Drive",
"address_2": "Suite 240-260",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "28078",
"country_code": "US",
"telephone_number": "980-236-9244",
"fax_number": "949-577-4664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGBEWALI",
"first_name": "LUCINDA",
"middle_name": "OKYERE",
"credential": "DNP, FNP-C, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5012294",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5012294",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5012294",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lokyere177529@direct.novant.org",
"affiliation": "N",
"address_1": "3545 Whitehall Park Dr Ste 300",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282734179",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.