DR. SHAMOLIE NICOLE WYCKOFF M.D.
NPI 1295872216
Pain Medicine - Pain Medicine in Hermitage, TN
About Dr. Shamolie Nicole Wyckoff M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAMOLIE NICOLE WYCKOFF M.D. (NPI 1295872216) is an individual pain medicine provider in Hermitage, Tennessee, licensed in Tennessee (48072) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shamolie Nicole Wyckoff M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shamolie Wyckoff reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Columbus, NC 28722
- Reassigned Medicare billing, North Carolina enrollment
- Also billed through NPI 1609191022 (North Carolina)
- 2,057 clinicians in this Medicare group
Charlotte, NC 28208
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HERMITAGE, TN 37076
HERMITAGE, TN 37076
HERMITAGE, TN 37076
HERMITAGE, TN 37076
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 Shamolie Wyckoff's NPI number?
The NPI number for Shamolie Wyckoff is 1295872216. It was assigned to this individual provider in the NPPES registry on January 31, 2007.
Where is Shamolie Wyckoff located?
Shamolie Wyckoff practices at 5651 Frist Blvd Ste 712, Hermitage, TN 37076. The listed phone number is (615) 872-9966.
What is Shamolie Wyckoff's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Shamolie Wyckoff enrolled in Medicare?
Yes. Shamolie Wyckoff 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.
Which organizations bill Medicare for Shamolie Wyckoff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shamolie Wyckoff reassigns Medicare benefits to 3 organizations: The Southeast Permanente Medical Group (Atlanta, GA), Carolinas Physicians Network, Inc. (Columbus, NC) and Carolinas Medical Center (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shamolie Wyckoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shamolie Wyckoff accept?
Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Shamolie Wyckoff 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 Shamolie Wyckoff was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Shamolie Nicole Wyckoff, M.D. · NPI 1295872216
Pain Medicine physician in Hermitage, Tennessee. Individual provider, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1295872216 (Entity type: Individual)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **State license:** 48072 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 5651 FRIST BLVD, STE 712, Hermitage, TN 37076-2054
- **Phone:** (615) 872-9966 · **Fax:** (615) 872-9967
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA); Carolinas Physicians Network, Inc. (NPI 1184852105, Columbus, NC); Carolinas Medical Center (NPI 1063567428, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** January 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295872216) · Data from the CMS NPPES public registry.