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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. SHANNON LESLIE HERSHBERGER PA-C
NPI 1215173059
Physician Assistant in Pembroke, NC

Active since December 29, 2008PECOS EnrolledAccepts Medicare Assignment
923 W 3RD ST, PEMBROKE, NC 28372(910) 521-0564 Get Directions Write a Review

NPPES record last updated: September 12, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 12, 2026, Jan 31, 2022, Nov 2, 2020 and 1 more (4 updates tracked since 2017).

About Mr. Shannon Leslie Hershberger Pa-c NPPES

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

MR. SHANNON LESLIE HERSHBERGER PA-C (NPI 1215173059) is an individual physician assistant in Pembroke, North Carolina, licensed in North Carolina (0010-01640) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1215173059
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SHANNON LESLIE HERSHBERGERCredential: PA-C
Location Address923 W 3RD STPembroke, NC 28372-9628
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490
Phone(910) 521-0564
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 29, 2008
Last NPPES UpdateSeptember 12, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2026
✔ NPI 1215173059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-01640
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.
923 W 3RD ST, Pembroke, NC 28372
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Secondary Practice Location 1

Location 17830 Good Middling Dr., STE BFayetteville, NC 28304-5996 · Phone (910) 672-8765

Other Identifiers 1

Medicaid8102131NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Mr. Shannon Leslie Hershberger 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 ID7113078502
PECOS Enrollment IDI20090624000715
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 8

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
220 services26 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
84 services21 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
62 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services31 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
27 services11 patients

Hospital Affiliations CMS Care Compare

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

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28372 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 12

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

TRINITY URGENT CARE & FAMILY PRACTICE, PLLC
Clinic/Center (Urgent Care)
923 W 3RD ST, SUITE A
PEMBROKE, NC 28372
Robeson County (910) 775-9027
MALLORY CARTER PT ASSISTANT
Physical Therapy Assistant
923 W 3RD ST
PEMBROKE, NC 28372
Robeson County (910) 522-2072
CHRISTINA O MCMILLAN PT THERAPIST
Physical Therapist
923 W 3RD ST
PEMBROKE, NC 28372
Robeson County (910) 522-2072
WEST PRIMARY-URGENT CARE, PLLC
Clinic/Center (Primary Care)
923 W 3RD ST
PEMBROKE, NC 28372
Robeson County (910) 522-8888
FIRSTHEALTH OF THE CAROLINAS, INC.
Clinic/Center (Physical Therapy)
923 W 3RD ST, FIRSTHEALTH CENTER OF REHABILITATION-PEMBROKE
PEMBROKE, NC 28372
Robeson County (910) 522-2072
TYLER ELLIOTT DIAL PA-C
Physician Assistant
923 W 3RD ST
PEMBROKE, NC 28372
Robeson County (910) 521-0564
SEAN BUCKLEY FNP-C
Nurse Practitioner (Family)
923 W 3RD ST
PEMBROKE, NC 28372
Robeson County (910) 521-0564
TONI CHAGOLLA OXENDINE M.D.
Internal Medicine
923 W 3RD ST
PEMBROKE, NC 28372
Robeson County (910) 521-0564

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 Hershberger's NPI number?

The NPI number for Shannon Hershberger is 1215173059. It was assigned to this individual provider in the NPPES registry on December 29, 2008.

Where is Shannon Hershberger located?

Shannon Hershberger practices at 923 W 3rd St, Pembroke, NC 28372. The listed phone number is (910) 521-0564.

What is Shannon Hershberger's specialty?

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

Is Shannon Hershberger enrolled in Medicare?

Yes. Shannon Hershberger 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 Shannon Hershberger accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Shannon Hershberger 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 Hershberger affiliated with any hospitals?

According to CMS data, Shannon Hershberger is affiliated with Southeastern Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Hershberger was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.