1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Nurse Practitioner
  6. NPI Profile

SHEILA LOUISE MARCERON PNP
NPI 1427544931
Nurse Practitioner in Winston Salem, NC

Active since July 09, 2018PECOS Enrolled
WFBMC 1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(363) 716-8094(336) 716-6585 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2025, Jul 1, 2024, Jul 9, 2018 (3 updates tracked since 2018).

About Sheila Louise Marceron Pnp NPPES

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

SHEILA LOUISE MARCERON PNP (NPI 1427544931) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5010692) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427544931
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHEILA LOUISE MARCERONCredential: PNP
Location AddressWFBMC 1 MEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255 · Fax (336) 716-3202
Phone(363) 716-8094
Fax(336) 716-6585
Sole ProprietorNo
Enumeration DateJuly 9, 2018
Last NPPES UpdateAugust 8, 20253 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1427544931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5010692
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 5010692 (NC)
WFBMC 1 MEDICAL CENTER BLVD, Winston Salem, NC 27157
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheila Louise Marceron Pnp 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.

Medicare Billing Reassignment

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

Wake Forest University Health Sciences
Same address
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1003803032 (336) 716-2255

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 27157 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 Sheila Marceron's NPI number?

The NPI number for Sheila Marceron is 1427544931. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Sheila Marceron located?

Sheila Marceron practices at Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (363) 716-8094.

What is Sheila Marceron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sheila Marceron enrolled in Medicare?

Yes. Sheila Marceron is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sheila Marceron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Marceron reassigns Medicare benefits to Wake Forest University Health Sciences (Winston Salem, 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 Sheila Marceron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Marceron accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Sheila Marceron 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 Sheila Marceron was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.