SHANNELL SINTELL MOULTRIE NP
NPI 1871324202
Nurse Practitioner in Charlotte, NC

Q: What is Shannell Moultrie's NPI number?

The NPI number for Shannell Moultrie is 1871324202. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Q: What is Shannell Moultrie'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 Shannell Moultrie was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 August 08, 2024PECOS Enrolled

6324 FAIRVIEW RD STE 330, CHARLOTTE, NC 28210(704) 316-2670(704) 316-2671 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Aug 8, 2024 (2 updates tracked since 2024).

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About Shannell Sintell Moultrie Np NPPES

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

SHANNELL SINTELL MOULTRIE NP (NPI 1871324202) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5020610) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871324202

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANNELL SINTELL MOULTRIECredential: NP

Location Address6324 FAIRVIEW RD STE 330Charlotte, NC 28210-3260

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-2670

Fax(704) 316-2671

Sole ProprietorNo

Enumeration DateAugust 8, 2024

Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration

NPPES CertifiedOctober 10, 2024

✔ NPI 1871324202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5020610

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5020610 (NC)

6324 FAIRVIEW RD STE 330, Charlotte, NC 28210

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannell Sintell Moultrie Np 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 28210 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 9

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

SARA JANE ROOT FNP-C

Nurse Practitioner