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SHAWNA LEA FOX FNP
NPI 1720405277
Nurse Practitioner - Family in Mt Pleasant, SC

Active since March 22, 2014PECOS EnrolledAccepts Medicare Assignment
1400 HOSPITAL DR, MT PLEASANT, SC 29464(843) 884-1341(843) 884-1345 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Jul 22, 2024, Jul 20, 2021 and 3 more (6 updates tracked since 2020).

About Shawna Lea Fox Fnp NPPES

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

SHAWNA LEA FOX FNP (NPI 1720405277) is an individual family provider in Mt Pleasant, South Carolina, licensed in South Carolina (23150) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Roper Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720405277
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAWNA LEA FOXCredential: FNP
Location Address1400 HOSPITAL DRMt Pleasant, SC 29464-3255
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620 · Fax (843) 724-2440
Phone(843) 884-1341
Fax(843) 884-1345
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 22, 2014
Last NPPES UpdateSeptember 23, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1720405277 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 · 23150
1400 HOSPITAL DR, Mt Pleasant, SC 29464
Open in Google Maps ↗

Other Identifiers 1

MedicaidNP7128SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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

Shawna Lea Fox Fnp 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 ID7214348846
PECOS Enrollment IDI20201202002569
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
252 services115 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
110 services69 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
27 services21 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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 13

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

KATHERINE RUIZ PA-C
Physician Assistant (Medical)
1400 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 884-1341
VINITHA NAREDDY M.D.
Family Medicine
1400 HOSPITAL DR
MOUNT PLEASANT, SC 29464
Charleston County (843) 884-1341
KIMBERLY R WRIGHT FNP
Nurse Practitioner (Family)
1400 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 884-1341
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Obstetrics & Gynecology
1400 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 884-0301
DR. LACIE VICTORIA WALLACE MD
Family Medicine
1400 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 884-1341
DR. DELINDA H. TERRY M.D.
Obstetrics & Gynecology
1400 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 884-0301
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1400 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 720-8317
DR. RICHARD TRAVIS WILKES M.D.
Family Medicine
1400 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 881-1341

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 Shawna Fox's NPI number?

The NPI number for Shawna Fox is 1720405277. It was assigned to this individual provider in the NPPES registry on March 22, 2014.

Where is Shawna Fox located?

Shawna Fox practices at 1400 Hospital Dr, Mt Pleasant, SC 29464. The listed phone number is (843) 884-1341.

What is Shawna Fox's specialty?

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

Is Shawna Fox enrolled in Medicare?

Yes. Shawna Fox 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 Shawna Fox accept?

Health plans from First Choice Next list Shawna Fox 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 Shawna Fox affiliated with any hospitals?

According to CMS data, Shawna Fox is affiliated with Roper Hospital and Mount Pleasant Hospital.

When was this NPI record last updated?

The NPPES record for Shawna Fox was last updated on September 23, 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.