SARAH JORDYN-MARY STREET FNP-C
NPI 1720803497
Nurse Practitioner in Charlotte, NC

Active since November 18, 2024PECOS EnrolledAccepts Medicare Assignment
6324 FAIRVIEW RD STE 201, CHARLOTTE, NC 28210(704) 384-0588(704) 384-0580 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2025, Nov 18, 2024 (2 updates tracked since 2024).

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

NPI1720803497
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSARAH JORDYN-MARY STREETCredential: FNP-C
Location Address6324 FAIRVIEW RD STE 201Charlotte, NC 28210-4278
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(704) 384-0580
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 18, 2024
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
NPI 1720803497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5021219
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 5021219 (NC)
6324 FAIRVIEW RD STE 201, Charlotte, NC 28210

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8921538190
PECOS Enrollment IDI20250204001955
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.

Hospital Affiliations CMS Care Compare

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, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Physician 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.

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
6324 FAIRVIEW RD STE 201
CHARLOTTE, NC 28210
Family Medicine
6324 FAIRVIEW RD STE 201
CHARLOTTE, NC 28210
Nurse Practitioner
6324 FAIRVIEW RD STE 201
CHARLOTTE, NC 28210
Family Medicine
6324 FAIRVIEW RD STE 201
CHARLOTTE, NC 28210
Specialist/Technologist (Athletic Trainer)
6324 FAIRVIEW RD STE 201
CHARLOTTE, NC 28210
Physician Assistant
6324 FAIRVIEW RD STE 201
CHARLOTTE, NC 28210
Nurse Practitioner
6324 FAIRVIEW RD STE 201
CHARLOTTE, NC 28210
Physician Assistant
6324 FAIRVIEW RD STE 201
CHARLOTTE, NC 28210

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.

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.

When was this NPI record last updated?

The NPPES record for Sarah Street was last updated on January 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.