AMANDA SHRUM
NPI 1922545698
Nurse Practitioner - Family in Charlotte, NC

Active since January 19, 2017
87.4/100
CMS Quality Rating
10515 MALLARD CREEK RD, CHARLOTTE, NC 28262(704) 547-9739 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 1, 2021, Jan 19, 2017 (2 updates tracked since 2017).

About Amanda Shrum NPPES

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

AMANDA SHRUM (NPI 1922545698) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5013026) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1922545698
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA SHRUM
Location Address10515 MALLARD CREEK RDCharlotte, NC 28262-9785
Mailing Address10515 Mallard Creek RdCharlotte, NC 28262-9785 · (704) 547-9739
Sole ProprietorYes
Enumeration DateJanuary 19, 2017
Last NPPES UpdateMarch 1, 20212 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
NPI 1922545698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5013026
10515 MALLARD CREEK RD, Charlotte, NC 28262

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.

87.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.09
Improvement Activities40
Cost100

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.

Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Physician Assistant
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262

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 Amanda Shrum's NPI number?

The NPI number for Amanda Shrum is 1922545698. It was assigned to this individual provider in the NPPES registry on January 19, 2017.

Where is Amanda Shrum located?

Amanda Shrum practices at 10515 Mallard Creek Rd, Charlotte, NC 28262. The listed phone number is (704) 547-9739.

What is Amanda Shrum's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Shrum was last updated on March 1, 2021. 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.