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SHQIPE ADEMI PA-C
NPI 1194354928
Physician Assistant in Durham, NC

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
2301 ERWIN RD, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2022, Mar 24, 2021, Mar 9, 2021 and 3 more (6 updates tracked since 2020).

About Shqipe Ademi Pa-c NPPES

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

SHQIPE ADEMI PA-C (NPI 1194354928) is an individual physician assistant in Durham, North Carolina, licensed in North Carolina (0010-11108) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194354928
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHQIPE ADEMICredential: PA-C
Location Address2301 ERWIN RDDurham, NC 27710-8910
Mailing Address3643 N Roxboro StDurham, NC 27704-2702 · (919) 470-4000
Phone(919) 684-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateOctober 31, 20226 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1194354928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-11108✔ Licensed in CT · 4881
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2301 ERWIN RD, Durham, NC 27710
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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 and accepts Medicare assignment

Shqipe Ademi Pa-c 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 ID8921404062
PECOS Enrollment IDI20240419003651
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

CANDICE MARLOW RAY M.D.
Pediatrics (Pediatric Critical Care Medicine)
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
AMY KATHERINE TALLY PT, DPT
Physical Therapist
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
MRS. ALICIA HISCOX PARISI RN, NNP-BC
Nurse Practitioner (Neonatal)
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 681-3501
DR. NICHOLAS PARRISH M.D.
Surgery
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 613-6133
DR. LARRY RONALD JACKSON II M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 970-6972
ERIN P BROUSH NNP-BC
Nurse Practitioner (Neonatal)
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 681-5551
DAVID SLADE M.D.
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 970-8293
DR. KEVIN CARL GENGEL M.D.
Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-1111

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 Shqipe Ademi's NPI number?

The NPI number for Shqipe Ademi is 1194354928. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Shqipe Ademi located?

Shqipe Ademi practices at 2301 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Shqipe Ademi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shqipe Ademi enrolled in Medicare?

Yes. Shqipe Ademi 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.

What insurance does Shqipe Ademi accept?

Health plans from Blue Cross and Blue Shield of NC list Shqipe Ademi 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 Shqipe Ademi affiliated with any hospitals?

According to CMS data, Shqipe Ademi is affiliated with Riverside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shqipe Ademi was last updated on October 31, 2022. 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.