SARAH JORDYN-MARY STREET FNP-C
NPI 1720803497
Nurse Practitioner in Charlotte, NC
About Sarah Jordyn-mary Street Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARAH JORDYN-MARY STREET FNP-C (NPI 1720803497) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5021219) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Sarah Jordyn-mary Street 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.
Medicare Billing Reassignment
Medicare enrollment records show Sarah Street 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
- Medicare enrollment name: Novant Health Medical Group, LLC
- 2,998 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Presbyterian Medical Center
Acute Care Hospitals · Charlotte, NCNovant Health Mint Hill Medical Center
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sarah Street's NPI number?
The NPI number for Sarah Street is 1720803497. It was assigned to this individual provider in the NPPES registry on November 18, 2024.
Where is Sarah Street located?
Sarah Street practices at 6324 Fairview Rd Ste 201, Charlotte, NC 28210. The listed phone number is (704) 384-0588.
What is Sarah Street's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Sarah Street enrolled in Medicare?
Yes. Sarah Street 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 organization bills Medicare for Sarah Street's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Street reassigns Medicare benefits to Novant Medical Group, Inc. (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 Sarah Street's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sarah Street accept?
Health plans from Blue Cross and Blue Shield of NC list Sarah Street 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.
Is Sarah Street affiliated with any hospitals?
According to CMS data, Sarah Street is affiliated with Novant Health Presbyterian Medical Center and Novant Health Mint Hill Medical Center.
When was this NPI record last updated?
The NPPES record for Sarah Street was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Sarah Jordyn-Mary Street, FNP-C · NPI 1720803497
Nurse Practitioner physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since November 18, 2024.
## Identity
- **NPI:** 1720803497 (Entity type: Individual)
- **Enumerated:** November 18, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5021219 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 6324 FAIRVIEW RD STE 201, Charlotte, NC 28210-4278
- **Phone:** (704) 384-0588 · **Fax:** (704) 384-0580
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Novant Medical Group, Inc. (NPI 1083251300, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720803497) · Data from the CMS NPPES public registry.