MISTY DAWN SHULENBURGER
NPI 1366100463
Nurse Practitioner - Family in Mooresville, NC

Q: What is Misty Shulenburger's NPI number?

The NPI number for Misty Shulenburger is 1366100463. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Q: What is Misty Shulenburger's specialty?

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

Active since December 06, 2021PECOS Enrolled

590 RIVER HWY STE C, MOORESVILLE, NC 28117(980) 447-9444 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Misty Dawn Shulenburger NPPES

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

MISTY DAWN SHULENBURGER (NPI 1366100463) is an individual family provider in Mooresville, North Carolina, licensed in North Carolina (5015427) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366100463

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISTY DAWN SHULENBURGER

Location Address590 RIVER HWY STE CMooresville, NC 28117-7803

Mailing Address590 River Hwy Ste CMooresville, NC 28117-7803 · (980) 447-9444

Phone(980) 447-9444

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 6, 2021

NPPES CertifiedDecember 6, 2021

✔ NPI 1366100463 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 · 5015427

590 RIVER HWY STE C, Mooresville, NC 28117

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty Dawn Shulenburger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42785842

PECOS Enrollment IDI20260409001028

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.

Medicare Billing Reassignment

Medicare enrollment records show Misty Shulenburger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cabarrus Rowan Community Health Centers, Inc.

16 mi

Federally Qualified Health Center (FQHC)

307 E THOM ST
China Grove, NC 28023

Reassigned Medicare billing, North Carolina enrollment
40 clinicians in this Medicare group

NPI 1528304235 (704) 792-2245

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 28117 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.

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 Misty Shulenburger's NPI number?

The NPI number for Misty Shulenburger is 1366100463. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is Misty Shulenburger located?

Misty Shulenburger practices at 590 River Hwy Ste C, Mooresville, NC 28117. The listed phone number is (980) 447-9444.

What is Misty Shulenburger's specialty?

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

Is Misty Shulenburger enrolled in Medicare?

Yes. Misty Shulenburger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Misty Shulenburger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Shulenburger reassigns Medicare benefits to Cabarrus Rowan Community Health Centers, Inc. (China Grove, NC). The 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 Misty Shulenburger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Shulenburger accept?

Health plans from Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Misty Shulenburger 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 Misty Shulenburger was last updated on December 6, 2021. 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.