Active NPI
Jennifer Dawn Eleey, FNP-BC
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5012890
- Practice address
- 1918 Randolph Rd Ste 400
Charlotte, NC 28207-1196 - Phone
- (704) 384-9437
- Fax
- (704) 384-9440
- NPI assigned
- Feb 19, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 269057 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5012890 | NC | |
| Nurse Practitioner | 363L00000X | 5012890 | NC | Primary |
Addresses
Primary practice location
1918 Randolph Rd Ste 400
Charlotte, NC 28207-1196
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
7845 Little Ave
Charlotte, NC 28226-8198
Phone (704) 375-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
190 Kimel Park Dr
Suite 120
Winston Salem, NC 27103-6946
Phone (336) 718-7063
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5012890 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Eventus Wholehealth Aco LLC | Nurse Practitioner | Current | Accepting new patients |
| Eventus Ecs, Inc | Nurse Practitioner | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Extended Care Specialists, Inc | Nurse Practitioner | Current | Accepting new patients |
| Extended Care Specialists, Inc | Nurse Practitioner | Past | Accepting new patients |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437
160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
190 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-2200
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900
3958 Brown Park Dr
Ste D
Hilliard, OH 43026
Interoperability endpoints
- jeleey669820@direct.novanthealth.org
Organizations & group practices 8
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Geriatric Medicine (Internal Medicine) Physician
- Concord, NC
- NPI 1023796307
Nurse Practitioner
-
- Adult Medicine Physician
- Merrillville, IN
- NPI 1134146079
Nurse Practitioner, OH
-
- Neurology Physician
- Matthews, NC
- NPI 1083666887
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1669873733
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1942833868",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD STE 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071196",
"telephone_number": "704-384-9437",
"fax_number": "704-384-9440"
}
],
"practiceLocations": [
{
"address_1": "7845 Little Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282268198",
"country_code": "US",
"telephone_number": "704-375-0100",
"fax_number": "704-887-6450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELEEY",
"first_name": "JENNIFER",
"middle_name": "DAWN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "269057",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5012890",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5012890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 5, 2025; 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.