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LISA PETRONELLA SHOCK PA
NPI 1962439745
Physician Assistant in Raleigh, NC

Active since June 27, 2006PECOS Enrolled
4909 GREEN RD, RALEIGH, NC 27616(919) 790-0288 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2025, Jul 17, 2024 (2 updates tracked since 2024).

About Lisa Petronella Shock Pa NPPES

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

LISA PETRONELLA SHOCK PA (NPI 1962439745) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (102885) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962439745
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA PETRONELLA SHOCKCredential: PA
Location Address4909 GREEN RDRaleigh, NC 27616-3418
Mailing Address1929 Kateland CtApex, NC 27502-6611 · (919) 593-1557
Phone(919) 790-0288
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1962439745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 102885✔ Licensed in TN · 6237
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4909 GREEN RD, Raleigh, NC 27616
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Petronella Shock Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27616 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 13

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

MS. SUZANNE MARIE MCPHEE R.N.
Registered Nurse
4909 GREEN RD
RALEIGH, NC 27616
Wake County (919) 790-0288
MELISA J BEEBE P.T.
Physical Therapist
4909 GREEN RD
RALEIGH, NC 27616
Wake County (615) 778-4066
OCCUPATIONAL HEALTH CENTERS OF NORTH CAROLINA, P.C.
Clinic/Center (Occupational Medicine)
4909 GREEN RD
RALEIGH, NC 27616
Wake County (919) 790-0288
DR. LISA M FIGUEROA M.D.
Emergency Medicine
4909 GREEN RD
RALEIGH, NC 27616
Wake County (919) 790-0288
CARA MILBURN PA
Physician Assistant
4909 GREEN RD
RALEIGH, NC 27616
Wake County (919) 790-0288
SHAKELIA KARIKARI PT, DPT
Physical Therapist
4909 GREEN RD
RALEIGH, NC 27616
Wake County (919) 790-0288
RYAN MACATUGAL PT, DPT
Physical Therapist
4909 GREEN RD
RALEIGH, NC 27616
Wake County (919) 790-0288
KEVIN PILECKI P.A.
Physician Assistant
4909 GREEN RD
RALEIGH, NC 27616
Wake County (615) 778-4066

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 Lisa Shock's NPI number?

The NPI number for Lisa Shock is 1962439745. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Lisa Shock located?

Lisa Shock practices at 4909 Green Rd, Raleigh, NC 27616. The listed phone number is (919) 790-0288.

What is Lisa Shock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Shock enrolled in Medicare?

Yes. Lisa Shock is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Shock accept?

Health plans from Blue Cross and Blue Shield of NC list Lisa Shock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Shock was last updated on July 10, 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.