Pacharo Sally Ndupu, FNP-C
NPI 1194167080ActiveIndividual· Nurse Practitioner, Family· Charlotte, NC
Nurse Practitioner, Family (FNP-C) with Lifesource of North Carolina and 1 other group, practicing in Charlotte, North Carolina. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1194167080 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Jul 22, 2013 |
| Last updated in NPPES | Mar 27, 2026 |
| Certified by provider | Mar 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5006379 | NC |
| Nurse Practitioner | 363L00000X | 5006379 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC); Practitioner - Nurse Practitioner (OH) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Lifesource of North CarolinaClinton, SC · 178 clinicians
- Lifesource Prime IncClinton, SC · 53 clinicians
Other facilities
- Bayada Home Health Care, IncHome health agency · Charlotte, NC
- Bayada Home Health Care, IncHome health agency · Salisbury, NC
- Centerwell Home HealthHome health agency · Hickory, NC
- Suncrest Home HealthHome health agency · Charlotte, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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