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MR. SHAWN LEWIS FOUNTAIN JR. FNP-C
NPI 1033995998
Nurse Practitioner - Family in Charlotte, NC

Active since September 06, 2023PECOS EnrolledAccepts Medicare Assignment
1614 SOUTH BLVD, CHARLOTTE, NC 28203(704) 338-1268 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Shawn Lewis Fountain Jr. Fnp-c NPPES

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

MR. SHAWN LEWIS FOUNTAIN JR. FNP-C (NPI 1033995998) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5018771) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033995998
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SHAWN LEWIS FOUNTAIN JR.Credential: FNP-C
Location Address1614 SOUTH BLVDCharlotte, NC 28203-4726
Mailing Address1614 South BlvdCharlotte, NC 28203-4726 · (704) 338-1268
Phone(704) 338-1268
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
✔ NPI 1033995998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5018771
1614 SOUTH BLVD, Charlotte, NC 28203
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Shawn Lewis Fountain Jr. Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517313059
PECOS Enrollment IDI20231019002742
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEVERLY BOARTS
Physical Medicine & Rehabilitation
1614 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 338-1268
NICOLLETTE ABATO
Physical Therapist
1614 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 338-1268
OCCUPATIONAL HEALTH CENTERS OF NORTH CAROLINA, P.C.
Clinic/Center (Occupational Medicine)
1614 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 338-1268
DR. JAIMIE L MOLBERT DPT
Physical Therapist
1614 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 338-1268
ASHLEY LAUREN COLLYER PA-C
Physician Assistant
1614 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 338-1268
LINDSEY J. CRAIG PA-C
Physician Assistant (Medical)
1614 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 338-1268
LIANE RAE RUTHIG DPT
Physical Therapist
1614 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (989) 450-3296
ALEXANDRA IMPERATORE
Physical Therapist
1614 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 338-1268

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 Shawn Fountain's NPI number?

The NPI number for Shawn Fountain is 1033995998. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Shawn Fountain located?

Shawn Fountain practices at 1614 South Blvd, Charlotte, NC 28203. The listed phone number is (704) 338-1268.

What is Shawn Fountain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shawn Fountain enrolled in Medicare?

Yes. Shawn Fountain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shawn Fountain accept?

Health plans from Blue Cross and Blue Shield of NC list Shawn Fountain 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 Shawn Fountain was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.