Active NPI
Amy Zickefoose Kupsco, FNP
- Family Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F01211463
- Practice address
- 3158 Freedom Dr Ste 3101
Charlotte, NC 28208-0014 - Phone
- (704) 348-2992
- NPI assigned
- Jan 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F01211463 | NC | Primary |
Addresses
Primary practice location
3158 Freedom Dr Ste 3101
Charlotte, NC 28208-0014
Mailing address
PO Box 37938
Charlotte, NC 28237-7938
Phone (704) 332-0396
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akupsco66455@direct.acumenmd.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
1025 Morehead Medical Dr
Suite 275a
Charlotte, NC 28204-2963
Phone (704) 355-0607
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328
1975 Carolna Place Dr
Fort Mill, SC 29708-6922
Phone (704) 348-2992
3158 Freedom Dr
Suite 3101
Charlotte, NC 28208-0014
Phone (704) 348-2992
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01211463 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Metrolina Nephrology Associates, PA | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients |
Locations
2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900
3158 Freedom Dr
Ste 3101
Charlotte, NC 28208
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
3158 Freedom Dr
Ste 3102
Charlotte, NC 28208
Phone (704) 731-6857
2544 Court Dr
Ste F
Gastonia, NC 28054
Phone (704) 864-8302
1975 Carolna Place Dr
Fort Mill, SC 29708
Phone (803) 802-3027
Interoperability endpoints
- akupsco66455@direct.acumenmd.com
- akupsco50500@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1962093195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37938",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282377938",
"telephone_number": "704-332-0396",
"fax_number": "704-971-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3158 FREEDOM DR STE 3101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282080014",
"telephone_number": "704-348-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPSCO",
"first_name": "AMY",
"middle_name": "ZICKEFOOSE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-30",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "F01211463",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akupsco66455@direct.acumenmd.com",
"affiliation": "N",
"endpointDescription": "Acumen Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CED",
"address_1": "3158 Freedom Dr Ste 3101",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282080014",
"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 27, 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.