DR. SHELLIE MARIE KENDALL M.D.
NPI 1053439802
Pediatrics - Pediatric Cardiology in Wilmington, NC
About Dr. Shellie Marie Kendall M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHELLIE MARIE KENDALL M.D. (NPI 1053439802) is an individual pediatric cardiology provider in Wilmington, North Carolina, licensed in California (A112660) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shellie Marie Kendall M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Shellie Kendall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 710 clinicians in this Medicare group
Jacksonville, NC 28546
- Reassigned Medicare billing, North Carolina enrollment
- 137 clinicians in this Medicare group
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- 51 clinicians in this Medicare group
Raleigh, NC 27608
- Reassigned Medicare billing, North Carolina enrollment
- 2,797 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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shellie Kendall's NPI number?
The NPI number for Shellie Kendall is 1053439802. It was assigned to this individual provider in the NPPES registry on March 27, 2007.
Where is Shellie Kendall located?
Shellie Kendall practices at 510 Carolina Bay Dr, Wilmington, NC 28403. The listed phone number is (910) 662-8888.
What is Shellie Kendall's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Shellie Kendall enrolled in Medicare?
Yes. Shellie Kendall is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shellie Kendall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shellie Kendall reassigns Medicare benefits to 4 organizations: Novant Health Medical Group Coastal Region, LLC (Wilmington, NC), Onslow Memorial Hospital Inc (Jacksonville, NC), Fayetteville Area Health Education Foundation Inc (Fayetteville, NC) and University Of North Carolina At Chapel Hill (Raleigh, 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 Shellie Kendall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shellie Kendall accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Shellie Kendall 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 Shellie Kendall was last updated on October 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Shellie Marie Kendall, M.D. · NPI 1053439802
Pediatric Cardiology physician in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1053439802 (Entity type: Individual)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** A112660 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 510 CAROLINA BAY DR, Wilmington, NC 28403-2041
- **Phone:** (910) 662-8888 · **Fax:** (910) 662-8909
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Novant Health Medical Group Coastal Region, LLC (NPI 1164221230, Wilmington, NC); Onslow Memorial Hospital Inc (NPI 1679535496, Jacksonville, NC); Fayetteville Area Health Education Foundation Inc (NPI 1811072812, Fayetteville, NC); University Of North Carolina At Chapel Hill (NPI 1972912285, Raleigh, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053439802) · Data from the CMS NPPES public registry.