Active NPI
Vina Sananikone Kozusko, NP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5011526
- Practice address
- 1021 Morehead Medical Dr
Ste a
Charlotte, NC 28204-2990 - Phone
- (980) 442-2000
- NPI assigned
- Feb 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5011526 | NC | Primary |
Addresses
Primary practice location
1021 Morehead Medical Dr
Ste a
Charlotte, NC 28204-2990
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
945 N 5th St
Albemarle, NC 28001-3417
Phone (980) 323-7790
Other practice location 2
100 Medical Park Dr
Ste 110
Concord, NC 28025-2948
Phone (704) 403-1370
Other practice location 3
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1255
Other practice location 4
4525 Cameron Valley Pkwy
Ste 3500
Charlotte, NC 28211-4369
Phone (704) 302-8300
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | vsananikone134604@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Duke University School of Medicine, 2018
- 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
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011526 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Pathology Group, PA | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
945 N 5th St
Albemarle, NC 28001
Phone (980) 323-7790
4525 Cameron Valley Pkwy
Ste 3500
Charlotte, NC 28211
Phone (704) 302-8300
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1021 Morehead Medical Dr
Ste A
Charlotte, NC 28204
Phone (704) 355-2884
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
100 Medical Park Dr
Ste 110
Concord, NC 28025
Phone (704) 403-1370
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- vsananikone134604@carolinashealthcaresystem.direct-ci.com
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.
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
NC, Nurse Practitioner
-
dba Levine Cancer Institute
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
dba Atrium Health Pulmonary University
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
dba Levine Cancer Institute
- Surgical Oncology Physician
- Charlotte, NC
- NPI 1508135799
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Lincoln
- General Acute Care Hospital
- Lincolnton, NC
- NPI 1730055054
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
dba Atrium Health Mercy
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
dba Levine Children's Hospital Pediatrics
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
dba Atrium Health Laboratory
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1982161907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 MOREHEAD MEDICAL DR",
"address_2": "STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042990",
"telephone_number": "980-442-2000"
}
],
"practiceLocations": [
{
"address_1": "945 N 5th St",
"address_purpose": "LOCATION",
"city": "Albemarle",
"state": "NC",
"postal_code": "280013417",
"country_code": "US",
"telephone_number": "980-323-7790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Park Dr",
"address_2": "Ste 110",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252948",
"country_code": "US",
"telephone_number": "704-403-1370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 S Kings Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072134",
"country_code": "US",
"telephone_number": "704-446-1255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4525 Cameron Valley Pkwy",
"address_2": "Ste 3500",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114369",
"country_code": "US",
"telephone_number": "704-302-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOZUSKO",
"first_name": "VINA",
"middle_name": "SANANIKONE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5011526",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vsananikone134604@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1021 Morehead Medical Dr",
"address_2": "Ste A",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282042990",
"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 Jul 23, 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.