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PACHARO SALLY NDUPU FNP-C
NPI 1194167080
Nurse Practitioner - Family in Charlotte, NC

Active since July 22, 2013PECOS EnrolledAccepts Medicare Assignment
335 N CASWELL RD, CHARLOTTE, NC 28204(704) 384-7980(704) 384-7985 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2026, Nov 12, 2025, Dec 12, 2023 and 2 more (5 updates tracked since 2019).

About Pacharo Sally Ndupu Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACHARO SALLY NDUPU FNP-C (NPI 1194167080) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5006379) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1194167080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePACHARO SALLY NDUPUCredential: FNP-C
Location Address335 N CASWELL RDCharlotte, NC 28204-2403
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 384-7980
Fax(704) 384-7985
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 22, 2013
Last NPPES UpdateMarch 27, 20265 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1194167080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5006379
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5006379 (NC)
335 N CASWELL RD, Charlotte, NC 28204
Open in Google Maps ↗

Secondary Practice Location 1

Location 13205 Randall Pkwy Ste 105Wilmington, NC 28403-2565 · Phone (910) 742-9243 · Fax (888) 746-1787

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pacharo Sally Ndupu Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618107335
PECOS Enrollment IDI20150106001574
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Pacharo Ndupu reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Family Medicine
335 N CASWELL RD
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1477092179 (North Carolina)
  • 2,998 clinicians in this Medicare group
NPI 1083993174 (704) 384-7603
Physicians Eldercare PA
117 mi
General Practice
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 365 clinicians in this Medicare group
NPI 1023083268 (337) 991-9276
Lifesource Of North Carolina
179 mi
Internal Medicine
3205 RANDALL PKWY, SUITE 105
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 92 clinicians in this Medicare group
NPI 1811286156 (910) 742-9243
Lifesource Prime Inc
179 mi
Family Medicine
3205 RANDALL PKWY STE 105
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 46 clinicians in this Medicare group
NPI 1598533275 (910) 742-9243
Signify Health, LLC
931 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Signify Health Medical Associates, PLLC
931 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. LAURA CAMPBELL FNP-BC
Nurse Practitioner
335 N CASWELL RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7980
DR. CRAIG H ROBSON MD
Urology
335 N CASWELL RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7980
KASHMIRA PRAMOD WANKHEDKAR M.D.
Internal Medicine (Rheumatology)
335 N CASWELL RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7980
NOVANT HEALTH MEDICAL GROUP, LLC
Family Medicine
335 N CASWELL RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7603
ELENA SUZANNE PATEL DO
Family Medicine
335 N CASWELL RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7980
MAGGIE REED PROCTOR PA-C
Physician Assistant
335 N CASWELL RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7980
DR. ELENA GASCON IBE M.D.
Family Medicine
335 N CASWELL RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7980
NOVANT MEDICAL GROUP, INC
Psychiatry & Neurology (Psychiatry)
335 N CASWELL RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7980

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 Pacharo Ndupu's NPI number?

The NPI number for Pacharo Ndupu is 1194167080. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Where is Pacharo Ndupu located?

Pacharo Ndupu practices at 335 N Caswell Rd, Charlotte, NC 28204. The listed phone number is (704) 384-7980.

What is Pacharo Ndupu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pacharo Ndupu enrolled in Medicare?

Yes. Pacharo Ndupu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pacharo Ndupu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pacharo Ndupu reassigns Medicare benefits to 6 organizations: Novant Health Medical Group, LLC (Charlotte, NC), Physicians Eldercare PA (Durham, NC), Lifesource Of North Carolina (Wilmington, NC), Lifesource Prime Inc (Wilmington, NC), Signify Health, LLC (Dallas, TX) and 1 more organization, listed in the Medicare section above. Each 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 Pacharo Ndupu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pacharo Ndupu accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource and CareSource (Common Ground Healthcare) list Pacharo Ndupu 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 Pacharo Ndupu was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.