JENNIFER MARIE SHACKELFORD PA-C
NPI 1255893806
Physician Assistant in Wilmington, NC

Active since April 03, 2019PECOS Enrolled
601 S COLLEGE RD, WILMINGTON, NC 28403(910) 962-3280(910) 962-4130 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2022, Jan 31, 2021, Apr 3, 2019 (3 updates tracked since 2019).

About Jennifer Marie Shackelford Pa-c NPPES

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

JENNIFER MARIE SHACKELFORD PA-C (NPI 1255893806) is an individual physician assistant in Wilmington, North Carolina and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255893806
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER MARIE SHACKELFORDCredential: PA-C
Location Address601 S COLLEGE RDWilmington, NC 28403-3201
Mailing Address4621 Runaway Bay LnWilmington, NC 28405-5700 · (772) 807-0903
Fax(910) 962-4130
Sole ProprietorYes
Enumeration DateApril 3, 2019
Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
NPI 1255893806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

601 S COLLEGE RD, Wilmington, NC 28403

Other Names 1

Former Name (1)Jennifer Marie Guerra Pa-c

Accepted 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)

Jennifer Marie Shackelford 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 28403 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.

Student in an Organized Health Care Education/Training Program
601 S COLLEGE RD
WILMINGTON, NC 28403
Specialist/Technologist (Athletic Trainer)
601 S COLLEGE RD
WILMINGTON, NC 28403
Student in an Organized Health Care Education/Training Program
601 S COLLEGE RD, UNCW STUDENT HEALTH
WILMINGTON, NC 28403
Specialist/Technologist (Athletic Trainer)
601 S COLLEGE RD
WILMINGTON, NC 28403
Physician Assistant
601 S COLLEGE RD
WILMINGTON, NC 28403
Specialist/Technologist (Athletic Trainer)
601 S COLLEGE RD
WILMINGTON, NC 28403
Specialist/Technologist (Athletic Trainer)
601 S COLLEGE RD
WILMINGTON, NC 28403
Specialist/Technologist (Athletic Trainer)
601 S COLLEGE RD
WILMINGTON, NC 28403

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 Jennifer Shackelford's NPI number?

The NPI number for Jennifer Shackelford is 1255893806. It was assigned to this individual provider in the NPPES registry on April 3, 2019. The provider is also known as Jennifer Marie Guerra Pa-C.

Where is Jennifer Shackelford located?

Jennifer Shackelford practices at 601 S College Rd, Wilmington, NC 28403. The listed phone number is (910) 962-3280.

What is Jennifer Shackelford's specialty?

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

Is Jennifer Shackelford enrolled in Medicare?

Yes. Jennifer Shackelford is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Shackelford accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Jennifer Shackelford 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 Jennifer Shackelford was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.