MRS. SHANNON IVY SPEECE ANP
NPI 1164654893
Nurse Practitioner - Adult Health in Goldsboro, NC
About Mrs. Shannon Ivy Speece Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANNON IVY SPEECE ANP (NPI 1164654893) is an individual adult health provider in Goldsboro, North Carolina, licensed in North Carolina (5449989) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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 Ivy Speece Anp 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 Reassignment
Medicare enrollment records show Shannon Speece reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, NC 27858
- Reassigned Medicare billing, North Carolina enrollment
- 2 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 27534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOLDSBORO, NC 27534
GOLDSBORO, NC 27534
GOLDSBORO, NC 27534
GOLDSBORO, NC 27534
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 Speece's NPI number?
The NPI number for Shannon Speece is 1164654893. It was assigned to this individual provider in the NPPES registry on August 13, 2009.
Where is Shannon Speece located?
Shannon Speece practices at 2609 Medical Office Pl, Goldsboro, NC 27534. The listed phone number is (919) 734-1779.
What is Shannon Speece's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Shannon Speece enrolled in Medicare?
Yes. Shannon Speece 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 organization bills Medicare for Shannon Speece's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Speece reassigns Medicare benefits to Vitality Health And Wellness PLLC (Greenville, NC). The 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 Speece'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 Speece was last updated on March 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Shannon Ivy Speece, ANP · NPI 1164654893
Adult Health physician in Goldsboro, North Carolina. Individual provider, active in the CMS NPPES registry since August 13, 2009.
## Identity
- **NPI:** 1164654893 (Entity type: Individual)
- **Enumerated:** August 13, 2009
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 5449989 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2609 MEDICAL OFFICE PL, Goldsboro, NC 27534-9428
- **Phone:** (919) 734-1779
## 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:** Vitality Health And Wellness PLLC (NPI 1164742870, Greenville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** March 19, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1164654893) · Data from the CMS NPPES public registry.