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ANDREW JAMES STILLWAGON MS, RDN, LDN
NPI 1780430207
Dietitian, Registered in Durham, NC

Active since April 25, 2024Accepts Medicare Assignment
3103 SHANNON RD, DURHAM, NC 27707(919) 865-3869(866) 284-2848 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2025, Apr 25, 2024 (2 updates tracked since 2024).

About Andrew James Stillwagon Ms, Rdn, Ldn NPPES

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

ANDREW JAMES STILLWAGON MS, RDN, LDN (NPI 1780430207) is an individual dietitian, registered in Durham, North Carolina, licensed in North Carolina (L006974) and active in the NPI registry since April 2024. He maintains a secondary practice location in Raleigh and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780430207
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameANDREW JAMES STILLWAGONCredential: MS, RDN, LDN
Location Address3103 SHANNON RDDurham, NC 27707-4336
Mailing Address3103 Shannon RdDurham, NC 27707-4336 · (919) 865-3869
Phone(919) 865-3869
Fax(866) 284-2848
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 25, 2024
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1780430207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · L006974
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3103 SHANNON RD, Durham, NC 27707
Open in Google Maps ↗

Secondary Practice Location 1

Location 14207 Lake Boone Trl Ste 210Raleigh, NC 27607-6685 · Phone (919) 784-7874 · Fax (919) 784-2708

Accepted Insurance

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

Andrew James Stillwagon Ms, Rdn, Ldn 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 ID1052835899
PECOS Enrollment IDI20250414001765

Medicare Billing Reassignments

2

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

Rdnutrition LLC
Same address
Dietitian, Registered
3103 SHANNON RD
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1104642859 (919) 865-3869
North Carolina Mg, LLC
17 mi
Hospitalist
4420 LAKE BOONE TRL
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 701 clinicians in this Medicare group
NPI 1215741640 (919) 784-3100

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 27707 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
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
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 4

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

RDNUTRITION LLC
Dietitian, Registered
3103 SHANNON RD
DURHAM, NC 27707
Durham County (919) 865-3869
DR. JACOB ROBBIE DPT
Physical Therapist
3103 SHANNON RD
DURHAM, NC 27707
Durham County (919) 355-5728
FRANCINE OKRASKI RD
Dietitian, Registered
3103 SHANNON RD
DURHAM, NC 27707
Durham County (704) 877-1945
ASHLEY HODGE
Physical Medicine & Rehabilitation
3103 SHANNON RD
DURHAM, NC 27707
Durham County (919) 791-6678

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 Andrew Stillwagon's NPI number?

The NPI number for Andrew Stillwagon is 1780430207. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Andrew Stillwagon located?

Andrew Stillwagon practices at 3103 Shannon Rd, Durham, NC 27707. The listed phone number is (919) 865-3869.

What is Andrew Stillwagon's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Andrew Stillwagon enrolled in Medicare?

Yes. Andrew Stillwagon 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 Andrew Stillwagon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Stillwagon reassigns Medicare benefits to 2 organizations: Rdnutrition LLC (Durham, NC) and North Carolina Mg, LLC (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 Andrew Stillwagon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Stillwagon accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Andrew Stillwagon 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 Andrew Stillwagon was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.