SHANNON BLANKENBECKLER AGNP-C, PMHNP-BC
NPI 1508257221
Nurse Practitioner - Psychiatric/Mental Health in Wilmington, NC

Active since February 17, 2015PECOS EnrolledAccepts Medicare Assignment
2909 MARKET ST, WILMINGTON, NC 28403(910) 795-2118(910) 795-2318 Get Directions Write a Review

NPPES record last updated: July 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2022, Mar 10, 2022 (2 updates tracked since 2022).

About Shannon Blankenbeckler Agnp-c, Pmhnp-bc NPPES

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

SHANNON BLANKENBECKLER AGNP-C, PMHNP-BC (NPI 1508257221) is an individual psychiatric/mental health provider in Wilmington, North Carolina, licensed in North Carolina (5007563) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1508257221
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANNON BLANKENBECKLERCredential: AGNP-C, PMHNP-BC
Location Address2909 MARKET STWilmington, NC 28403-1221
Mailing Address611 Laveen WayWilmington, NC 28412-2697 · (910) 470-8496
Fax(910) 795-2318
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 17, 2015
Last NPPES UpdateJuly 24, 20222 updates tracked since enumeration
NPPES CertifiedJuly 24, 2022
✔ NPI 1508257221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5007563
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License BLAN-GIKLC9 (NC)
2909 MARKET ST, Wilmington, NC 28403

Accepted Insurance

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

Shannon Blankenbeckler Agnp-c, Pmhnp-bc 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 ID8628370129
PECOS Enrollment IDI20151229002763
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 Reassignments

2

Medicare enrollment records show Shannon Blankenbeckler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
500 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 187 clinicians in this Medicare group
Psychiatry
7780 BRIER CREEK PKWY STE 306
Raleigh, NC 27617
  • Reassigned Medicare billing, North Carolina enrollment
  • 9 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
2909 MARKET ST
WILMINGTON, NC 28403
Clinic/Center (Primary Care)
2909 MARKET ST
WILMINGTON, NC 28403
Pain Medicine (Interventional Pain Medicine)
2909 MARKET ST
WILMINGTON, NC 28403
Physician Assistant
2909 MARKET ST
WILMINGTON, NC 28403
Nurse Practitioner (Family)
2909 MARKET ST
WILMINGTON, NC 28403
Physician Assistant
2909 MARKET ST
WILMINGTON, NC 28403
Anesthesiology
2909 MARKET ST
WILMINGTON, NC 28403

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 Shannon Blankenbeckler's NPI number?

The NPI number for Shannon Blankenbeckler is 1508257221. It was assigned to this individual provider in the NPPES registry on February 17, 2015.

Where is Shannon Blankenbeckler located?

Shannon Blankenbeckler practices at 2909 Market St, Wilmington, NC 28403. The listed phone number is (910) 795-2118.

What is Shannon Blankenbeckler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shannon Blankenbeckler enrolled in Medicare?

Yes. Shannon Blankenbeckler 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 organizations bill Medicare for Shannon Blankenbeckler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Blankenbeckler reassigns Medicare benefits to 2 organizations: Columbus Regional Healthcare System (Whiteville, NC) and Medpsych Integrated PLLC (Raleigh, NC). Each 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 Shannon Blankenbeckler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Blankenbeckler accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Shannon Blankenbeckler 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 Shannon Blankenbeckler was last updated on July 24, 2022. 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.