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MRS. RACHELLE SHACKLETON PMHNP
NPI 1902632714
Nurse Practitioner - Psychiatric/Mental Health in Smithfield, NC

Active since September 09, 2024PECOS Enrolled
521 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577(919) 989-5500(833) 438-7008 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 4, 2025, May 13, 2025, May 8, 2025 and 1 more (4 updates tracked since 2024).

About Mrs. Rachelle Shackleton Pmhnp NPPES

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

MRS. RACHELLE SHACKLETON PMHNP (NPI 1902632714) is an individual psychiatric/mental health provider in Smithfield, North Carolina, licensed in North Carolina (5022471) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902632714
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. RACHELLE SHACKLETONCredential: PMHNP
Location Address521 N BRIGHTLEAF BLVDSmithfield, NC 27577-4407
Mailing Address2664 Timber Dr Ste 275Garner, NC 27529-2571 · (919) 262-4823
Phone(919) 989-5500
Fax(833) 438-7008
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 9, 2024
Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1902632714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5022471
521 N BRIGHTLEAF BLVD, Smithfield, NC 27577
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Rachelle Shackleton Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921503566
PECOS Enrollment IDI20250925000230
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 27577 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.

MRS. ELAINE MARGARET HOWELL PCC
Counselor (Professional)
521 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 989-5576
MRS. KAREN LYNN STORM MS
Psychologist
521 N BRIGHTLEAF BLVD, JOHNSTON COUNTY MENTAL HEALTH CENTER
SMITHFIELD, NC 27577
Johnston County (919) 989-5500
MS. LORI MICHELLE CAVINESS MSW LCSW
Social Worker (Clinical)
521 N BRIGHTLEAF BLVD, JOHNSTON COUNTY MENTAL HEALTH CENTER
SMITHFIELD, NC 27577
Johnston County (919) 989-5500
DR. KIMBERLY A JOHNSON M.D.
Psychiatry & Neurology (Psychiatry)
521 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 989-5555
DR. WENDY ELLIOTT PHD
Psychologist
521 N BRIGHTLEAF BLVD, JOHNSTON COUNTY MENTAL HEALTH CENTER
SMITHFIELD, NC 27577
Johnston County (919) 989-5500
SARA ANNE SMITH LCSW, MSW
Social Worker
521 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 989-5500
BROOKE LYNN RYALS LCMHC-A
Counselor (Mental Health)
521 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 989-5500
JOHNSTON COUNTY MENTAL HEALTH CTR
Case Manager/Care Coordinator
521 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 989-5500

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 Rachelle Shackleton's NPI number?

The NPI number for Rachelle Shackleton is 1902632714. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Rachelle Shackleton located?

Rachelle Shackleton practices at 521 N Brightleaf Blvd, Smithfield, NC 27577. The listed phone number is (919) 989-5500.

What is Rachelle Shackleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rachelle Shackleton enrolled in Medicare?

Yes. Rachelle Shackleton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rachelle Shackleton was last updated on September 24, 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.