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DR. SHANNA R SPRINKLE MD, MPH
NPI 1235574195
Surgery in Oxford, NC

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
101 PROFESSIONAL PARK STE B, OXFORD, NC 27565(919) 603-0368(919) 690-0842 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2024, Oct 18, 2023, Mar 7, 2023 and 2 more (5 updates tracked since 2020).

About Dr. Shanna R Sprinkle Md, Mph NPPES

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

DR. SHANNA R SPRINKLE MD, MPH (NPI 1235574195) is an individual surgery provider in Oxford, North Carolina, licensed in North Carolina (2023-02997) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Granville Health Systems, and maintains a secondary practice location in Edison.

NPPES Registry Identity

NPI1235574195
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. SHANNA R SPRINKLECredential: MD, MPH
Location Address101 PROFESSIONAL PARK STE BOxford, NC 27565-2580
Mailing Address2521 Greenway BoulevardRoselle, NJ 07203 · (405) 226-6883
Phone(919) 603-0368
Fax(919) 690-0842
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 6, 2013
Last NPPES UpdateJuly 23, 20245 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1235574195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2023-02997
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
101 PROFESSIONAL PARK STE B, Oxford, NC 27565
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Secondary Practice Location 1

Location 13900 Park Ave Ste 101Edison, NJ 08820-3063 · Phone (732) 372-6640 · Fax (510) 256-5076

Other Identifiers 2

Other2023-02997NC · Nc State Medical License
Other25MA11586200NJ · Nj State Medical License

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

Dr. Shanna R Sprinkle Md, Mph 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 ID4183071707
PECOS Enrollment IDI20231103000641
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.

Hospital Affiliations CMS Care Compare

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

Granville Health Systems

Acute Care Hospitals · Oxford, NC
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340127
Location1010 College StOxford, NC 27565 · Granville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27565 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 2

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

CRYSTAL NICOLE KANIPE NP-C
Nurse Practitioner (Family)
101 PROFESSIONAL PARK STE B
OXFORD, NC 27565
Granville County (919) 693-1082
GRANVILLE HEALTH INC
Surgery
101 PROFESSIONAL PARK STE B
OXFORD, NC 27565
Granville County (919) 603-0368

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 Shanna Sprinkle's NPI number?

The NPI number for Shanna Sprinkle is 1235574195. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Shanna Sprinkle located?

Shanna Sprinkle practices at 101 Professional Park Ste B, Oxford, NC 27565. The listed phone number is (919) 603-0368.

What is Shanna Sprinkle's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shanna Sprinkle enrolled in Medicare?

Yes. Shanna Sprinkle 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 Shanna Sprinkle accept?

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

According to CMS data, Shanna Sprinkle is affiliated with Granville Health Systems.

When was this NPI record last updated?

The NPPES record for Shanna Sprinkle was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.