MRS. SHANNON GILLIKIN
NPI 1720950256
Nurse Practitioner - Gerontology in New Bern, NC

Q: What is Shannon Gillikin's NPI number?

The NPI number for Shannon Gillikin is 1720950256. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Q: What is Shannon Gillikin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Gillikin 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 13 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.

Active since September 23, 2025PECOS EnrolledAccepts Medicare Assignment

1040 MEDICAL PARK AVE, NEW BERN, NC 28562(252) 514-2061(252) 514-2745 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Mrs. Shannon Gillikin NPPES

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

MRS. SHANNON GILLIKIN (NPI 1720950256) is an individual gerontology provider in New Bern, North Carolina, licensed in North Carolina (5023162) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2025).

NPPES Registry Identity

NPI1720950256

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMRS. SHANNON GILLIKIN

Location Address1040 MEDICAL PARK AVENew Bern, NC 28562-5248

Mailing Address1040 Medical Park AveNew Bern, NC 28562-5248 · (252) 514-2061 · Fax (252) 514-2745

Phone(252) 514-2061

Fax(252) 514-2745

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2025

Enumeration DateSeptember 23, 2025

NPPES CertifiedAugust 27, 2025

✔ NPI 1720950256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NC · 5023162

1040 MEDICAL PARK AVE, New Bern, NC 28562

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Mrs. Shannon Gillikin 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 ID8022502756

PECOS Enrollment IDI20251210002956

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 Shannon Gillikin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Carolina Health Care PA

Same address

Family Medicine

1040 MEDICAL PARK AVE
New Bern, NC 28562

Reassigned Medicare billing, North Carolina enrollment
120 clinicians in this Medicare group

NPI 1366498297 (252) 633-1678

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 28562 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 20

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

PHILIP DAVID GREEN MD

Emergency Medicine