MS. SHANNON JOAN CLARK AGNP RN
NPI 1508299777
Nurse Practitioner in Raleigh, NC

Q: What is Shannon Clark's NPI number?

The NPI number for Shannon Clark is 1508299777. It was assigned to this individual provider in the NPPES registry on August 12, 2013.

Q: What is Shannon Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Clark was last updated on February 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 12, 2013PECOS EnrolledAccepts Medicare Assignment

3700 BARRETT DR STE 200, RALEIGH, NC 27609(919) 231-3966(919) 231-3912 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2025, Oct 8, 2021, Mar 30, 2021 and 2 more (5 updates tracked since 2019).

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About Ms. Shannon Joan Clark Agnp Rn NPPES

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

MS. SHANNON JOAN CLARK AGNP RN (NPI 1508299777) is an individual nurse practitioner in Raleigh, North Carolina, licensed in North Carolina (5006374) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1508299777

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. SHANNON JOAN CLARKCredential: AGNP RN

Location Address3700 BARRETT DR STE 200Raleigh, NC 27609-7172

Mailing Address3700 Barrett Dr Ste 200Raleigh, NC 27609-7172 · (919) 231-3966 · Fax (919) 231-3912

Phone(919) 231-3966

Fax(919) 231-3912

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 12, 2013

Last NPPES UpdateFebruary 12, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2025

✔ NPI 1508299777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5006374

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.

3700 BARRETT DR STE 200, Raleigh, NC 27609

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Ms. Shannon Joan Clark Agnp Rn 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 ID1153558770

PECOS Enrollment IDI20131205001014

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 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.

75 services55 patients

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.

46 services36 patients

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.

29 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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.

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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.

DR. MICHAEL JOSEPH CASEY M.D.

Internal Medicine (Nephrology)