Shaun Fitzpatrick, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5012060 Issued in NC

Practice address

162 NC Highway 33 E
Tarboro, NC 27886-8582

Phone

(252) 641-0514

Fax

(252) 243-2576

NPI assigned

Aug 1, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Georgetown University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Family Health Centers, Inc.Group PAC ID 6800841107, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sfitzpatrick344022@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Family Health Centers, Inc

  dba Wilson Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Wilson, NC
  • NPI 1184792103
  Medicare reassignment Care Compare group NPD
• Carolina Family Health Centers, Inc

  dba Carolina Family Dental Center

  • Federally Qualified Health Center (FQHC)
  • Elm City, NC
  • NPI 1417427642
  NPD
• Carolina Family Health Centers, Inc

  dba Lee Student Health Center

  • Federally Qualified Health Center (FQHC)
  • Wilson, NC
  • NPI 1518440734
  NPD
• Carolina Family Health Centers, Inc

  dba Freedom Hill Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Tarboro, NC
  • NPI 1770651655
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1003460569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GREEN ST E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934105",
            "telephone_number": "252-293-0013",
            "fax_number": "252-243-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 NC HIGHWAY 33 E",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278868582",
            "telephone_number": "252-641-0514",
            "fax_number": "252-243-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "SHAUN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfogarty@physicianseast.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Physicians East, PA 1850 W. Arlington Blvd.",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Fountain Transportation

• Family Nurse Practitioner in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.