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

Jacqueline Farrell Ploszak, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1649678624

Jacqueline Farrell Ploszak, FNP-BC is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2014, 12 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2014
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

4815 Berewick Town Center Dr Ste C&d
Charlotte, NC 28278-6733
Phone: (980) 337-4652
Fax: (980) 337-4653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11300 Cresthill Dr Ste 120, Mint Hill, NC 28227-7924 — (704) 438-9479

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5007369 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5007369 (NC)

Record details

NPI number1649678624
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedDecember 8, 2014
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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