SHANNON LOGEL CANTERBURY
NPI 1063118115
Registered Nurse in Banner Elk, NC

Active since January 31, 2023Accepts Medicare Assignment
150 STONEYBROOK LN, BANNER ELK, NC 28604(828) 260-5937 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Logel Canterbury NPPES

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

SHANNON LOGEL CANTERBURY (NPI 1063118115) is an individual registered nurse in Banner Elk, North Carolina, licensed in North Carolina (343253) and active in the NPI registry since January 2023. She is affiliated with Watauga Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063118115
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSHANNON LOGEL CANTERBURY
Location Address150 STONEYBROOK LNBanner Elk, NC 28604-9417
Mailing Address150 Stoneybrook LnBanner Elk, NC 28604-9417 · (828) 260-5937
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 31, 2023
NPPES CertifiedJanuary 25, 2023
✔ NPI 1063118115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in NC · 343253
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
150 STONEYBROOK LN, Banner Elk, NC 28604

Accepted Insurance

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

Shannon Logel Canterbury 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 ID1456873785
PECOS Enrollment IDI20250317001815

Medicare Billing Reassignments

2

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

Nurse Anesthetist, Certified Registered
434 HOSPITAL DRIVE
Linville, NC 28646
  • Reassigned Medicare billing, North Carolina enrollment
  • 29 clinicians in this Medicare group
General Acute Care Hospital
336 DEERFIELD RD
Boone, NC 28607
  • Reassigned Medicare billing, North Carolina enrollment
  • 129 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

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 Canterbury's NPI number?

The NPI number for Shannon Canterbury is 1063118115. It was assigned to this individual provider in the NPPES registry on January 31, 2023.

Where is Shannon Canterbury located?

Shannon Canterbury practices at 150 Stoneybrook Ln, Banner Elk, NC 28604. The listed phone number is (828) 260-5937.

What is Shannon Canterbury's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Shannon Canterbury enrolled in Medicare?

Yes. Shannon Canterbury 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 Canterbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Canterbury reassigns Medicare benefits to 2 organizations: Charles A. Cannon, Jr. Memorial Hospital, Inc (Linville, NC) and Watauga Medical Center Inc (Boone, 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 Canterbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Canterbury accept?

Health plans from Cigna Healthcare list Shannon Canterbury 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.

Is Shannon Canterbury affiliated with any hospitals?

According to CMS data, Shannon Canterbury is affiliated with Watauga Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Canterbury was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.