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MR. JOHN HUDSON FILLMORE FNP
NPI 1003889080
Nurse Practitioner in Shallotte, NC

Active since February 09, 2006PECOS Enrolled
640 WHITEVILLE RD NW, SHALLOTTE, NC 28470(910) 754-4441 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2024, Oct 30, 2020 (2 updates tracked since 2020).

About Mr. John Hudson Fillmore Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN HUDSON FILLMORE FNP (NPI 1003889080) is an individual nurse practitioner in Shallotte, North Carolina, licensed in North Carolina (200786) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Shallotte.

NPPES Registry Identity

NPI1003889080
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JOHN HUDSON FILLMORECredential: FNP
Location Address640 WHITEVILLE RD NWShallotte, NC 28470-6503
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 754-4441 · Fax (910) 754-5307
Phone(910) 754-4441
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1003889080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 200786
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
640 WHITEVILLE RD NW, Shallotte, NC 28470
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Secondary Practice Location 1

Location 15145 Sellers RdShallotte, NC 28470-3405 · Phone (910) 754-4441 · Fax (910) 754-5307

Other Identifiers 5

Medicaid7005644NC
Other0131PBlue Cross Blue Shield
OtherP00188452Railroad Medicare
Other2592037Cigna Medicare
Medicaid348906ANC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Hudson Fillmore Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show John Fillmore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Medical Group Inc
1.2 mi
Pulmonary Disease
5145 SELLERS RD
Shallotte, NC 28470
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • Also billed through NPI 1710051123 (North Carolina), NPI 1780879544 (North Carolina)
  • 2,998 clinicians in this Medicare group
NPI 1700048089 (910) 754-4572
Novant Health Employer Solutions, LLC
162 mi
Occupational Medicine
108 PROVIDENCE RD
Charlotte, NC 28207
  • Reassigned Medicare billing, North Carolina enrollment
  • 15 clinicians in this Medicare group
NPI 1407668700 (336) 607-4992

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
78%309 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
54%399 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%483 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
70%185 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Fillmore's NPI number?

The NPI number for John Fillmore is 1003889080. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is John Fillmore located?

John Fillmore practices at 640 Whiteville Rd NW, Shallotte, NC 28470. The listed phone number is (910) 754-4441.

What is John Fillmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is John Fillmore enrolled in Medicare?

Yes. John Fillmore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Fillmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Fillmore reassigns Medicare benefits to 2 organizations: Novant Medical Group Inc (Shallotte, NC) and Novant Health Employer Solutions, LLC (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Fillmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Fillmore accept?

Health plans from Blue Cross and Blue Shield of NC list John Fillmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Fillmore was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.