ERICA SHACKELFORD MSN, FNP
NPI 1902375694
Nurse Practitioner - Family in Leesburg, VA

Active since November 26, 2018PECOS EnrolledAccepts Medicare Assignment
540 FORT EVANS RD STE 204, LEESBURG, VA 20176(703) 737-3500(703) 737-3550 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Erica Shackelford Msn, Fnp NPPES

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

ERICA SHACKELFORD MSN, FNP (NPI 1902375694) is an individual family provider in Leesburg, Virginia, licensed in Virginia (0024176969) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902375694
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA SHACKELFORDCredential: MSN, FNP
Location Address540 FORT EVANS RD STE 204Leesburg, VA 20176-3379
Mailing Address540 Fort Evans Rd Ste 204Leesburg, VA 20176-3379 · (703) 737-3500 · Fax (703) 737-3550
Fax(703) 737-3550
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 26, 2018
✔ NPI 1902375694 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 VA · 0024176969
540 FORT EVANS RD STE 204, Leesburg, VA 20176

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

Erica Shackelford Msn, 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 ID244578060
PECOS Enrollment IDI20190220001649
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 Reassignments

5

Medicare enrollment records show Erica Shackelford reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
540 FORT EVANS RD, SUITE 204
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
Internal Medicine
41816 FENWAY CIR
Ashburn, VA 20148
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 127 clinicians in this Medicare group
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 11 clinicians in this Medicare group
Geriatric Medicine
60 MARIETTA RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, District of Columbia enrollment
  • 83 clinicians in this Medicare group

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 20176 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Erica Shackelford's NPI number?

The NPI number for Erica Shackelford is 1902375694. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Erica Shackelford located?

Erica Shackelford practices at 540 Fort Evans Rd Ste 204, Leesburg, VA 20176. The listed phone number is (703) 737-3500.

What is Erica Shackelford's specialty?

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

Is Erica Shackelford enrolled in Medicare?

Yes. Erica Shackelford 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 Erica Shackelford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Shackelford reassigns Medicare benefits to 5 organizations: Vita Family Medicine And Medspa LLC (Leesburg, VA), Virginia Internal Medicine Inc (Ashburn, VA), Privia Medical Group, LLC (Arlington, VA), Provider Partners Care Management LP (Columbia, MD) and Pai Participant 1 LLC (Chillicothe, OH). 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 Erica Shackelford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Erica Shackelford was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.