MRS. SHANNON NICOLE DART FNP-BC
NPI 1053103721
Nurse Practitioner - Family in Elizabeth City, NC
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Dart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roanoke, VA 24011
- Reassigned Medicare billing, North Carolina enrollment
- 80 clinicians in this Medicare group
Lexington, NC 27295
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Pai Participant 29 PC
- 90 clinicians in this Medicare group
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 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.
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.
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.
Which organizations bill Medicare for Shannon Dart's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Dart reassigns Medicare benefits to 2 organizations: Universal Health Corporation (Roanoke, VA) and Pai Participant 29, P.C. (Lexington, 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 Shannon Dart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Dart was last updated on November 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.
# Mrs. Shannon Nicole Dart, FNP-BC · NPI 1053103721
Family physician in Elizabeth City, North Carolina. Individual provider, active in the CMS NPPES registry since May 20, 2025.
## Identity
- **NPI:** 1053103721 (Entity type: Individual)
- **Enumerated:** May 20, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5022302 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 HALSTEAD BLVD, Elizabeth City, NC 27909-6920
- **Phone:** (252) 619-4629
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Universal Health Corporation (NPI 1407117625, Roanoke, VA); Pai Participant 29, P.C. (NPI 1245813757, Lexington, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053103721) · Data from the CMS NPPES public registry.