MRS. ALICJA ERAZO SUNDBLADE FNP-C
NPI 1184059958
Nurse Practitioner - Family in Charlotte, NC
About Mrs. Alicja Erazo Sundblade Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALICJA ERAZO SUNDBLADE FNP-C (NPI 1184059958) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5006468) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Alicja Erazo Sundblade Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alicja Sundblade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28210
- Reassigned Medicare billing, North Carolina enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alicja Sundblade's NPI number?
The NPI number for Alicja Sundblade is 1184059958. It was assigned to this individual provider in the NPPES registry on September 11, 2013.
Where is Alicja Sundblade located?
Alicja Sundblade practices at 1918 Randolph Rd Suite 350, Charlotte, NC 28207. The listed phone number is (704) 384-1750.
What is Alicja Sundblade's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alicja Sundblade enrolled in Medicare?
Yes. Alicja Sundblade is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alicja Sundblade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicja Sundblade reassigns Medicare benefits to Forsyth Medical Group, LLC (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicja Sundblade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alicja Sundblade accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Alicja Sundblade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Alicja Sundblade was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Alicja Erazo Sundblade, FNP-C · NPI 1184059958
Family physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since September 11, 2013.
## Identity
- **NPI:** 1184059958 (Entity type: Individual)
- **Enumerated:** September 11, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5006468 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1918 RANDOLPH RD, SUITE 350, Charlotte, NC 28207-1100
- **Phone:** (704) 384-1750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Forsyth Medical Group, LLC (NPI 1902790157, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1184059958) · Data from the CMS NPPES public registry.