SHAWN EDMUND VAN WALLENDAEL PA
NPI 1376570689
Physician Assistant in Charlotte, NC

Q: What is Shawn Van Wallendael's NPI number?

The NPI number for Shawn Van Wallendael is 1376570689. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Shawn Van Wallendael's specialty?

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

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

10648 PARK RD, CHARLOTTE, NC 28210(704) 355-9330 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 57 more (60 updates tracked since 2017).

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About Shawn Edmund Van Wallendael Pa NPPES

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

SHAWN EDMUND VAN WALLENDAEL PA (NPI 1376570689) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (103076) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1376570689

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSHAWN EDMUND VAN WALLENDAELCredential: PA

Location Address10648 PARK RDCharlotte, NC 28210-8407

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 355-9330

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 26, 2006

Last NPPES UpdateJuly 15, 202460 updates tracked since enumeration

✔ NPI 1376570689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 103076

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.

10648 PARK RD, Charlotte, NC 28210

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Secondary Practice Locations 3

Location 11100 Blythe BlvdCharlotte, NC 28203-5814 · Phone (704) 355-9330

Location 2275 Beatty DrBelmont, NC 28012-2715 · Phone (704) 355-9330

Location 3487 Lake Concord Rd NEConcord, NC 28025-2934 · Phone (704) 403-0300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Shawn Edmund Van Wallendael Pa 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 ID9931205572

PECOS Enrollment IDI20070427000543

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

247 services108 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

131 services123 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 16

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

MEGHAN SUNTICH OTR/L

Occupational Therapist