KATHLEEN ANNE SHATTENKIRK
NPI 1386295467
Family Medicine in Southern Pines, NC
About Kathleen Anne Shattenkirk NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN ANNE SHATTENKIRK (NPI 1386295467) is an individual family medicine provider in Southern Pines, North Carolina, licensed in North Carolina (9500280) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Highlands Cashiers Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1987).
NPPES Registry Identity
Specialties & Licenses
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
Kathleen Anne Shattenkirk 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 Reassignment
Medicare enrollment records show Kathleen Shattenkirk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Poteau, OK 74953
- Reassigned Medicare billing, Texas enrollment
- 581 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Highlands Cashiers Hospital
Critical Access Hospitals · Highlands, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28387 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kathleen Shattenkirk's NPI number?
The NPI number for Kathleen Shattenkirk is 1386295467. It was assigned to this individual provider in the NPPES registry on September 20, 2019.
Where is Kathleen Shattenkirk located?
Kathleen Shattenkirk practices at 128 Belmont Ct, Southern Pines, NC 28387. The listed phone number is (910) 603-6782.
What is Kathleen Shattenkirk's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kathleen Shattenkirk enrolled in Medicare?
Yes. Kathleen Shattenkirk 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 organization bills Medicare for Kathleen Shattenkirk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Shattenkirk reassigns Medicare benefits to Choctaw Nation Of Oklahoma (Poteau, OK). 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 Kathleen Shattenkirk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathleen Shattenkirk affiliated with any hospitals?
According to CMS data, Kathleen Shattenkirk is affiliated with Highlands Cashiers Hospital.
When was this NPI record last updated?
The NPPES record for Kathleen Shattenkirk was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kathleen Anne Shattenkirk · NPI 1386295467
Family Medicine physician in Southern Pines, North Carolina. Individual provider, active in the CMS NPPES registry since September 20, 2019.
## Identity
- **NPI:** 1386295467 (Entity type: Individual)
- **Enumerated:** September 20, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 9500280 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 128 BELMONT CT, Southern Pines, NC 28387-2945
- **Phone:** (910) 603-6782
## 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:** Choctaw Nation Of Oklahoma (NPI 1710953799, Poteau, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 1987
## Record status
- **NPPES last updated:** September 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1386295467) · Data from the CMS NPPES public registry.