Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Albert Petrus Wirawan, RN, NP-C, MSN

Individual provider Family Nurse Practitioner · NPI 1831461987

Albert Petrus Wirawan, RN, NP-C, MSN is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2011, 15 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone: (704) 384-5416
Fax: (704) 384-5992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5005467 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5005467 (NC)

Record details

NPI number1831461987
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , NP-C , MSN
Sole proprietorNo
NPI enumeratedFebruary 6, 2012
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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