1. Home
  2. Directory
  3. North Carolina
  4. Mooresville
  5. Nurse Practitioner
  6. NPI Profile

SHASTA L EBERT
NPI 1093069627
Nurse Practitioner - Family in Mooresville, NC

Active since November 05, 2012PECOS Enrolled
125 DAYS INN DR, MOORESVILLE, NC 28117(704) 660-9111(704) 663-4504 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Feb 23, 2022, Oct 27, 2020 (3 updates tracked since 2020).

About Shasta L Ebert NPPES

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

SHASTA L EBERT (NPI 1093069627) is an individual family provider in Mooresville, North Carolina, licensed in North Carolina (5005908) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093069627
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHASTA L EBERT
Location Address125 DAYS INN DRMooresville, NC 28117-6323
Mailing Address125 Days Inn DrMooresville, NC 28117-6323 · (704) 660-9111 · Fax (704) 663-4504
Phone(704) 660-9111
Fax(704) 663-4504
Sole ProprietorNo
Enumeration DateNovember 5, 2012
Last NPPES UpdateFebruary 23, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
✔ NPI 1093069627 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 · 5005908
125 DAYS INN DR, Mooresville, NC 28117
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 (PECOS)

Shasta L Ebert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28117 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 4

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

MRS. HEATHER O'NEAL DAVIS FNP
Nurse Practitioner (Family)
125 DAYS INN DR
MOORESVILLE, NC 28117
Iredell County (704) 660-9111
PIEDMONT HEALTHCARE PA
Durable Medical Equipment & Medical Supplies
125 DAYS INN DR
MOORESVILLE, NC 28117
Iredell County (704) 660-9111
TONYA JORDAN SULLIVAN NURSE PRACTITIONER
Nurse Practitioner
125 DAYS INN DR
MOORESVILLE, NC 28117
Iredell County (704) 660-9111
FREDERICK U VORWALD MD
Family Medicine
125 DAYS INN DR
MOORESVILLE, NC 28117
Iredell County (704) 660-9111

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 Shasta Ebert's NPI number?

The NPI number for Shasta Ebert is 1093069627. It was assigned to this individual provider in the NPPES registry on November 5, 2012.

Where is Shasta Ebert located?

Shasta Ebert practices at 125 Days Inn Dr, Mooresville, NC 28117. The listed phone number is (704) 660-9111.

What is Shasta Ebert's specialty?

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

Is Shasta Ebert enrolled in Medicare?

Yes. Shasta Ebert is registered in the Medicare PECOS enrollment system.

What insurance does Shasta Ebert accept?

Health plans from Blue Cross and Blue Shield of NC list Shasta Ebert 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 Shasta Ebert was last updated on February 23, 2022. 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.