MRS. SHANNON NICOLE DART FNP-BC
NPI 1053103721
Nurse Practitioner - Family in Elizabeth City, NC

Active since May 20, 2025PECOS EnrolledAccepts Medicare Assignment
901 HALSTEAD BLVD, ELIZABETH CITY, NC 27909(252) 619-4629 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Shannon Nicole Dart Fnp-bc NPPES

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

MRS. SHANNON NICOLE DART FNP-BC (NPI 1053103721) is an individual family provider in Elizabeth City, North Carolina, licensed in North Carolina (5022302) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053103721
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANNON NICOLE DARTCredential: FNP-BC
Location Address901 HALSTEAD BLVDElizabeth City, NC 27909-6920
Mailing Address901 Halstead BlvdElizabeth City, NC 27909-6920 · (252) 619-4629
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 20, 2025
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
NPI 1053103721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5022302
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 189029 (NC)
901 HALSTEAD BLVD, Elizabeth City, NC 27909

Accepted 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

Mrs. Shannon Nicole Dart Fnp-bc 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 ID7315449865
PECOS Enrollment IDI20250904004541
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 27909 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 10

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

Skilled Nursing Facility
901 HALSTEAD BLVD
ELIZABETH CITY, NC 27909
Skilled Nursing Facility
901 HALSTEAD BLVD
ELIZABETH CITY, NC 27909
Occupational Therapy Assistant
901 HALSTEAD BLVD
ELIZABETH CITY, NC 27909
Physical Therapy Assistant
901 HALSTEAD BLVD
ELIZABETH CITY, NC 27909
Physical Therapist
901 HALSTEAD BLVD
ELIZABETH CITY, NC 27909
Occupational Therapist
901 HALSTEAD BLVD
ELIZABETH CITY, NC 27909
Nurse Practitioner (Family)
901 HALSTEAD BLVD
ELIZABETH CITY, NC 27909
Skilled Nursing Facility
901 HALSTEAD BLVD
ELIZABETH CITY, NC 27909

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 Shannon Dart's NPI number?

The NPI number for Shannon Dart is 1053103721. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Shannon Dart located?

Shannon Dart practices at 901 Halstead Blvd, Elizabeth City, NC 27909. The listed phone number is (252) 619-4629.

What is Shannon Dart's specialty?

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

Is Shannon Dart enrolled in Medicare?

Yes. Shannon Dart 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 Shannon Dart accept?

Health plans from Blue Cross and Blue Shield of NC list Shannon Dart 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 Shannon Dart was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.