CHARNETTE H SHADE MD
NPI 1942294764
Pediatrics in Rocky Mount, NC

Q: What is Charnette Shade's NPI number?

The NPI number for Charnette Shade is 1942294764. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Charnette Shade's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Charnette Shade was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 08, 2005PECOS Enrolled

91 ENTERPRISE DR, ROCKY MOUNT, NC 27804(252) 451-3100(252) 937-3106 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2026, Mar 8, 2019 (2 updates tracked since 2019).

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About Charnette H Shade Md NPPES

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

CHARNETTE H SHADE MD (NPI 1942294764) is an individual pediatrics provider in Rocky Mount, North Carolina, licensed in North Carolina (200400745) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942294764

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCHARNETTE H SHADECredential: MD

Location Address91 ENTERPRISE DRRocky Mount, NC 27804-9590

Mailing AddressPo Box 7200Rocky Mount, NC 27804-0200 · (252) 937-0200 · Fax (252) 451-0056

Phone(252) 451-3100

Fax(252) 937-3106

Sole ProprietorNo

Enumeration DateSeptember 8, 2005

Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1942294764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 200400745

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

91 ENTERPRISE DR, Rocky Mount, NC 27804

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Secondary Practice Locations 2

Location 1100 Nash Medical Arts MallRocky Mount, NC 27804-1400 · Phone (252) 451-3100 · Fax (252) 937-3106

Location 2921 N Winstead AveRocky Mount, NC 27804-8749 · Phone (252) 937-0300 · Fax (252) 937-3108

Other Identifiers 5

Other9568009NC · Cigna Healthcare

OtherD5324NC · Medcost

Other1902525NC · United Health Care

Other137AJNC · Bcbsnc

Medicaid89137AJNC

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charnette H Shade Md 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.

Medicare Billing Reassignment

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

Boice-Willis Clinic PA

0.2 mi

Internal Medicine

901 N WINSTEAD AVE
Rocky Mount, NC 27804

Reassigned Medicare billing, North Carolina enrollment
66 clinicians in this Medicare group

NPI 1699722389 (252) 937-0200

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 27804 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.

MARZENA T LASZEWSKI MD

Internal Medicine