SHANNON ELIZABETH BORASKI
NPI 1265011076
Nurse Practitioner - Family in Charlotte, NC

Q: What is Shannon Boraski's NPI number?

The NPI number for Shannon Boraski is 1265011076. It was assigned to this individual provider in the NPPES registry on April 7, 2021. The provider is also known as Shannon Elizabeth Lane.

Q: What is Shannon Boraski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Boraski was last updated on October 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2021PECOS Enrolled

2001 VAIL AVE, CHARLOTTE, NC 28207(704) 304-5000 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2024, Sep 23, 2024, Apr 7, 2021 (3 updates tracked since 2021).

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About Shannon Elizabeth Boraski NPPES

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

SHANNON ELIZABETH BORASKI (NPI 1265011076) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5014343) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265011076

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON ELIZABETH BORASKI

Location Address2001 VAIL AVECharlotte, NC 28207-1248

Mailing Address6135 Park South Dr Ste 510Charlotte, NC 28210-0100 · (704) 749-3116

Phone(704) 304-5000

Sole ProprietorNo

Enumeration DateApril 7, 2021

Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1265011076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5014343

2001 VAIL AVE, Charlotte, NC 28207

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Other Names 1

Former Name (1)Shannon Elizabeth Lane

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Elizabeth Boraski 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 28207 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

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

LESLIE KAY RUFFING ADCOCK MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

TAYLOR DEREK JOHNSON MD

Anesthesiology

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-5000

JENNIFER J CLINE PT

Physical Therapist

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 379-5837

VISHALAKSHI KALYANA SUNDARAM MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

KRYSTENE LYNN HELGESON PA

Physician Assistant

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-6070

ESTHER REBECCA LANDIS HAYES MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

SHENA S PATEL PT

Physical Therapist

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 379-5632

DUPAL PATEL MD

Family Medicine (Geriatric Medicine)

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

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 Boraski's NPI number?

The NPI number for Shannon Boraski is 1265011076. It was assigned to this individual provider in the NPPES registry on April 7, 2021. The provider is also known as Shannon Elizabeth Lane.

Where is Shannon Boraski located?

Shannon Boraski practices at 2001 Vail Ave, Charlotte, NC 28207. The listed phone number is (704) 304-5000.

What is Shannon Boraski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Boraski enrolled in Medicare?

Yes. Shannon Boraski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Boraski was last updated on October 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.