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ETHEL CAROLINE SHORE PA-C
NPI 1114434990
Internal Medicine in Wake Forest, NC

Active since January 03, 2018PECOS Enrolled
3150 ROGERS RD STE 101, WAKE FOREST, NC 27587(919) 504-4000(984) 235-1250 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethel Caroline Shore Pa-c NPPES

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

ETHEL CAROLINE SHORE PA-C (NPI 1114434990) is an individual internal medicine provider in Wake Forest, North Carolina, licensed in North Carolina (0010-07550) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Asheboro.

NPPES Registry Identity

NPI1114434990
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameETHEL CAROLINE SHORECredential: PA-C
Location Address3150 ROGERS RD STE 101Wake Forest, NC 27587
Mailing Address3150 Rogers Rd Ste 101Wake Forest, NC 27587-4196 · (919) 504-4000 · Fax (984) 235-1250
Phone(919) 504-4000
Fax(984) 235-1250
Sole ProprietorNo
Enumeration DateJanuary 3, 2018
Last NPPES UpdateFebruary 28, 2019
✔ NPI 1114434990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 0010-07550
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3150 ROGERS RD STE 101, Wake Forest, NC 27587
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Secondary Practice Location 1

Location 1138 Dublin Square Rd Ste BAsheboro, NC 27203-8601 · Phone (336) 610-1300

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)

Ethel Caroline Shore Pa-c 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 27587 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

FAMILY FIRST PRIMARY CARE PLLC
Family Medicine
3150 ROGERS RD STE 101
WAKE FOREST, NC 27587
Wake County (919) 504-4000
RAMSEY OSBORN PA
Physician Assistant
3150 ROGERS RD STE 101
WAKE FOREST, NC 27587
Wake County (919) 504-4000
LYNDSEY BENNETT FNP-C
Nurse Practitioner (Family)
3150 ROGERS RD STE 101
WAKE FOREST, NC 27587
Wake County (919) 504-4000
MS. ELIZABETH SCOTT TAYLOR APNP
Nurse Practitioner (Family)
3150 ROGERS RD STE 101
WAKE FOREST, NC 27587
Wake County (919) 504-4000

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 Ethel Shore's NPI number?

The NPI number for Ethel Shore is 1114434990. It was assigned to this individual provider in the NPPES registry on January 3, 2018.

Where is Ethel Shore located?

Ethel Shore practices at 3150 Rogers Rd Ste 101, Wake Forest, NC 27587. The listed phone number is (919) 504-4000.

What is Ethel Shore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ethel Shore enrolled in Medicare?

Yes. Ethel Shore is registered in the Medicare PECOS enrollment system.

What insurance does Ethel Shore accept?

Health plans from Blue Cross and Blue Shield of NC list Ethel Shore 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 Ethel Shore was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.