SHENITA ADAMS DEBERRY AGPCNP
NPI 1861014615
Nurse Practitioner - Adult Health in Salisbury, NC

Q: What is Shenita Deberry's NPI number?

The NPI number for Shenita Deberry is 1861014615. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Q: What is Shenita Deberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Shenita Deberry was last updated on May 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 15, 2020PECOS Enrolled

1601 BRENNER AVE, SALISBURY, NC 28144(704) 638-9000 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 29, 2020, May 15, 2020 (2 updates tracked since 2020).

On this page

About Shenita Adams Deberry Agpcnp NPPES

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

SHENITA ADAMS DEBERRY AGPCNP (NPI 1861014615) is an individual adult health provider in Salisbury, North Carolina, licensed in North Carolina (5013147) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861014615

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHENITA ADAMS DEBERRYCredential: AGPCNP

Location Address1601 BRENNER AVESalisbury, NC 28144-2515

Mailing Address15306 Catawba Cir SMatthews, NC 28104-5132 · (704) 886-4007

Phone(704) 638-9000

Sole ProprietorNo

Enumeration DateMay 15, 2020

Last NPPES UpdateMay 29, 20202 updates tracked since enumeration

NPPES CertifiedMay 29, 2020

✔ NPI 1861014615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NC · 5013147

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5013147 (NC)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 5013147 (NC)

1601 BRENNER AVE, Salisbury, NC 28144

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shenita Adams Deberry Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28144 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.