GWEN MARIE SHATTUCK APRN, FNP-C
NPI 1497204432
Nurse Practitioner - Family in Charleston, SC

Active since October 03, 2016PECOS EnrolledAccepts Medicare Assignment
2085 HENRY TECKLENBURG DR, CHARLESTON, SC 29414(843) 577-6957(843) 577-6523 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2025, Oct 23, 2022, Apr 21, 2017 (3 updates tracked since 2017).

About Gwen Marie Shattuck Aprn, Fnp-c NPPES

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

GWEN MARIE SHATTUCK APRN, FNP-C (NPI 1497204432) is an individual family provider in Charleston, South Carolina, licensed in South Carolina (20416) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497204432
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGWEN MARIE SHATTUCKCredential: APRN, FNP-C
Location Address2085 HENRY TECKLENBURG DRCharleston, SC 29414-7710
Mailing AddressPo Box 751874Charlotte, NC 28275-1874 · (843) 402-5200 · Fax (843) 402-5296
Fax(843) 577-6523
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 3, 2016
Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1497204432 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 SC · 20416
2085 HENRY TECKLENBURG DR, Charleston, SC 29414

Other Names 1

Former Name (1)Gwen Marie Magliocca Aprn, Fnp-c

Other Identifiers 1

MedicaidNP4288SC

Accepted 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

Gwen Marie Shattuck Aprn, Fnp-c 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 ID4880974740
PECOS Enrollment IDI20161212000167
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
288 services199 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
211 services81 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services70 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420104
Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County
Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

Internal Medicine (Pulmonary Disease)
2085 HENRY TECKLENBURG DR, SUITE 320
CHARLESTON, SC 29414
Internal Medicine (Hematology & Oncology)
2085 HENRY TECKLENBURG DR, 2ND FLOOR
CHARLESTON, SC 29414
Internal Medicine (Hematology & Oncology)
2085 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Internal Medicine (Hematology & Oncology)
2085 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Surgery
2085 HENRY TECKLENBURG DR, SUITE 310
CHARLESTON, SC 29414
Internal Medicine (Hematology & Oncology)
2085 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Nurse Practitioner (Family)
2085 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Nurse Practitioner (Acute Care)
2085 HENRY TECKLENBURG DR
CHARLESTON, SC 29414

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 Gwen Shattuck's NPI number?

The NPI number for Gwen Shattuck is 1497204432. It was assigned to this individual provider in the NPPES registry on October 3, 2016. The provider is also known as Gwen Marie Magliocca Aprn, Fnp-C.

Where is Gwen Shattuck located?

Gwen Shattuck practices at 2085 Henry Tecklenburg Dr, Charleston, SC 29414. The listed phone number is (843) 577-6957.

What is Gwen Shattuck's specialty?

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

Is Gwen Shattuck enrolled in Medicare?

Yes. Gwen Shattuck 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.

What insurance does Gwen Shattuck accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Gwen Shattuck 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.

Is Gwen Shattuck affiliated with any hospitals?

According to CMS data, Gwen Shattuck is affiliated with Bon Secours-St Francis Xavier Hospital, Roper Hospital, Mount Pleasant Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Gwen Shattuck was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.