Individual provider Active NPI

Jessica Schneebaum, FNP

  • Family Nurse Practitioner
  • Harrisburg, NC
National Provider Identifier
1851049167
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015853 Issued in NC
Practice address
4415 School House CMNS
Harrisburg, NC 28075-7558
Phone
(704) 456-1218
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5015853 NC Primary
Family Nurse Practitioner 363LF0000X 0024196667 VA
Nurse Practitioner 363L00000X 5015853 NC
Family Nurse Practitioner 363LF0000X 4054453 KY
Family Nurse Practitioner 363LF0000X 0041573 OH
Family Nurse Practitioner 363LF0000X 71017847A IN

Addresses

Primary practice location

4415 School House CMNS
Harrisburg, NC 28075-7558

Mailing address

PO Box 744786
Atlanta, GA 30374-4786

Other practice location 1

101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Phone (855) 743-2247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IN, VA, KY, OH5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220622003521 NC Practitioner - Nurse Practitioner 5698154532 Reassigns benefits to 5 organizations
I20260327002602 IN Practitioner - Nurse Practitioner 5698154532 Reassigns benefits to 2 organizations
I20260407000354 VA Practitioner - Nurse Practitioner 5698154532 Reassigns benefits to 2 organizations
I20260616001467 KY Practitioner - Nurse Practitioner 5698154532 Reassigns benefits to 2 organizations
I20260616001717 OH Practitioner - Nurse Practitioner 5698154532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus WH Southeast, LLCGroup PAC ID 5496294456, 241 clinicians
Fastmed PCGroup PAC ID 9830540558, 174 clinicians
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

212 S Tryon St
Suite 1000
Charlotte, NC 28281-0006
Phone (855) 743-2247

4415 School House CMNS
Harrisburg, NC 28075-7558
Phone (704) 456-1218

9550 Rocky River Rd
Suite 150
Charlotte, NC 28215-9527
Phone (704) 457-1510

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71017847AINMDFamily Nurse Practitioner
4054453KYMDFamily Nurse Practitioner
0041573OHMDFamily Nurse Practitioner
0024196667VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus WH Southeast, LLC Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients
Fastmed P.C. CurrentSince Jan 1, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Sep 13, 2025 Accepting new patients
Eventus Wholehealth, PLLC Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Sep 13, 2025 Accepting new patients
Caromont Medical Group Inc CurrentSince Jul 1, 2022 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients

Locations

212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028

13129 S Tryon St
Ste 120
Charlotte, NC 28278
Phone (980) 337-4662

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

600 W Trade St
Dallas, NC 28034
Phone (980) 834-9130

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

1895 Hoffman Rd
#B
Gastonia, NC 28054
Phone (704) 861-8669

1895 Hoffman Rd
Gastonia, NC 28054
Phone (704) 861-8669

4415 School House Cmns
Harrisburg, NC 28075
Phone (704) 456-1218

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: jschneebaum770920@direct.novanthealth.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1851049167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 SCHOOL HOUSE CMNS",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757558",
            "telephone_number": "704-456-1218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cabarrus Ave E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280253781",
            "country_code": "US",
            "telephone_number": "855-743-2247",
            "fax_number": "855-857-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEEBAUM",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015853",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024196667",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015853",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4054453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0041573",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71017847A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, NC

Sources for this page

Verify at the official NPI Registry.