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THOMAS SHANNON JENNINGS II
NPI 1902786312
Nurse Practitioner - Family in Wilmington, NC

Active since September 05, 2025PECOS EnrolledAccepts Medicare Assignment
4117 OLEANDER DR, WILMINGTON, NC 28403(910) 202-6988 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2025, Sep 5, 2025 (2 updates tracked since 2025).

About Thomas Shannon Jennings Ii NPPES

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

THOMAS SHANNON JENNINGS II (NPI 1902786312) is an individual family provider in Wilmington, North Carolina, licensed in North Carolina (5022976) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1902786312
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHOMAS SHANNON JENNINGS II
Location Address4117 OLEANDER DRWilmington, NC 28403-6821
Mailing Address1500 1st Ave N Unit 3Birmingham, AL 35203-1866 · (205) 545-5088
Phone(910) 202-6988
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 5, 2025
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1902786312 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 NC · 5022976

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

Thomas Shannon Jennings Ii 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 ID6406345289
PECOS Enrollment IDI20251031000053
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 Reassignment

Medicare enrollment records show Thomas Jennings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainstreet And Kidsstreet Of North Carolina PLLC
Urgent Care
2151 N CHURCH ST
Burlington, NC 27217
  • Reassigned Medicare billing, North Carolina enrollment
  • 106 clinicians in this Medicare group
NPI 1043170558 (336) 329-0959

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 28403 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 6

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

TORI SHAYE STEPHENS
Nurse Practitioner
4117 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 202-6988
MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
Clinic/Center (Rural Health)
4117 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (256) 854-9989
MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
Clinic/Center (Urgent Care)
4117 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (256) 854-9989
EMILY MOORE FNP-C
Nurse Practitioner (Family)
4117 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 202-6988
MADISON CLAIRE PERRY PA-C
Physician Assistant
4117 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 202-6988
CHRISTINE MADAIN
Nurse Practitioner (Family)
4117 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 202-6988

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 Thomas Jennings's NPI number?

The NPI number for Thomas Jennings is 1902786312. It was assigned to this individual provider in the NPPES registry on September 5, 2025.

Where is Thomas Jennings located?

Thomas Jennings practices at 4117 Oleander Dr, Wilmington, NC 28403. The listed phone number is (910) 202-6988.

What is Thomas Jennings's specialty?

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

Is Thomas Jennings enrolled in Medicare?

Yes. Thomas Jennings 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 organization bills Medicare for Thomas Jennings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Jennings reassigns Medicare benefits to Mainstreet And Kidsstreet Of North Carolina PLLC (Burlington, NC). The 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 Thomas Jennings'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 Thomas Jennings was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.