COLLEEN MARY SHAUGHNESSY NURSE PRACTITIONER
NPI 1942605944
Nurse Practitioner - Family in Wilmington, NC

Q: What is Colleen Shaughnessy's NPI number?

The NPI number for Colleen Shaughnessy is 1942605944. It was assigned to this individual provider in the NPPES registry on November 3, 2014.

Q: What is Colleen Shaughnessy's specialty?

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

Active since November 03, 2014PECOS Enrolled

4600 OLEANDER DR, WILMINGTON, NC 28403(910) 392-9502 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 8, 2019, Nov 9, 2016 (2 updates tracked since 2016).

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About Colleen Mary Shaughnessy Nurse Practitioner NPPES

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

COLLEEN MARY SHAUGHNESSY NURSE PRACTITIONER (NPI 1942605944) is an individual family provider in Wilmington, North Carolina, licensed in North Carolina (5007302) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1942605944

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCOLLEEN MARY SHAUGHNESSYCredential: NURSE PRACTITIONER

Location Address4600 OLEANDER DRWilmington, NC 28403

Mailing Address4600 Oleander DrWilmington, NC 28403-5149 · (910) 392-9502

Phone(910) 392-9502

Sole ProprietorNo

Enumeration DateNovember 3, 2014

Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration

✔ NPI 1942605944 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 · 5007302

4600 OLEANDER DR, Wilmington, NC 28403

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Secondary Practice Location 1

Location 14600 Oleander DrWilmington, NC 28403-5149 · Phone (866) 389-2727 · Fax (401) 652-9787

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Mary Shaughnessy Nurse Practitioner 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 Reassignments

Medicare enrollment records show Colleen Shaughnessy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Matrix Medical Plus

521 mi

Nurse Practitioner

424 CHURCH ST STE 2600
Nashville, TN 37219

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

NPI 1376973461 (877) 564-3627

Signify Health, LLC

1,096 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Virginia enrollment
501 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

Signify Health Medical Associates, PLLC

1,096 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, North Carolina and South Carolina enrollments
728 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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 20

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

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