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

Ellen June Radeker, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1558133355

Ellen June Radeker, FNP-BC is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2023, 3 years ago. Practices with Atrium Health Neurospine Network LLC, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
3
Licensed in
FL, NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

225 Baldwin Ave
Charlotte, NC 28204-3109
Phone: (704) 376-1605
Fax: (704) 335-8448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1212 South Blvd, Charlotte, NC 28203-4215 — (704) 334-8087

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5020439 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11029037 (FL)

Record details

NPI number1558133355
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 25, 2023
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Atrium Health Neurospine Network Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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