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

Pacharo Sally Ndupu, FNP-C

Individual provider Family Nurse Practitioner · NPI 1194167080

Pacharo Sally Ndupu, FNP-C is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2013, 13 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

335 N Caswell Rd
Charlotte, NC 28204-2403
Phone: (704) 384-7980
Fax: (704) 384-7985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 — (910) 742-9243

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5006379 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5006379 (NC)

Record details

NPI number1194167080
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJuly 22, 2013
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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