Individual provider

Theresa Ekenedo, NP

Medical-Surgical Registered Nurse Nurse Practitioner Primary Care Nurse Practitioner Medicare enrolled

Theresa Ekenedo, NP is a Medical-Surgical Registered Nurse in Charlotte, NC, registered under NPI 1164096319. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1000 BLYTHE BLVD, Charlotte, NC 28203. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1000 BLYTHE BLVD, Charlotte, NC 28203 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
259365 SC Medical-Surgical Registered Nurse primary
24962 SC Nurse Practitioner
24962 SC Primary Care Nurse Practitioner

This provider holds licence 259365 issued in SC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
7517480916

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Medical-Surgical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 163WM0705X
Nursing Service Providers Registered Nurse Medical-Surgical

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
163WM0705X Medical-Surgical Registered Nurse Medical-Surgical 259365 SC primary
363L00000X Nurse Practitioner 24962 SC
363LP2300X Primary Care Nurse Practitioner Primary Care 24962 SC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164096319 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 13, 2021
Last updatedMar 27, 2026
StatusActive
Sole proprietorNo
CredentialNP
Practice address 1000 BLYTHE BLVD
Charlotte, NC 28203
(704) 446-3451
Mailing address 713 WOBURN ABBEY DR
Fort Mill, SC 29715
This record was updated on Mar 27, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1164096319 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 0 9 6 3 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 0 9 3 3 2

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164096319?
NPI 1164096319 is the National Provider Identifier assigned to Theresa Ekenedo, NP in Charlotte, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical-Surgical cover?
Definition to come...
How do I contact Theresa Ekenedo, NP?
The phone number on file with NPPES is (704) 446-3451, last updated Mar 27, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Theresa Ekenedo, NP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164096319 a valid number?
Yes. 1164096319 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.