Individual provider Active NPI

Rebecca Louise Shedrick, FNP-C

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1053143404
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020656 Issued in NC
Practice address
4505 Fair Meadows LN Ste 101
Raleigh, NC 27607-6449
Phone
(919) 787-4000
Fax
(919) 787-4009
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5020656 NC Primary

Addresses

Primary practice location

4505 Fair Meadows LN Ste 101
Raleigh, NC 27607-6449

Mailing address

145 Relict Dr
Clayton, NC 27527-6736
Phone (919) 791-7103

Other practice location 1

400 N Englewood Dr
Kenly, NC 27542-9290
Phone (919) 284-4149

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rshedrick1050805@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241029001079 NC Practitioner - Nurse Practitioner 7113450248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

400 N Englewood Dr
Kenly, NC 27542-9290
Phone (919) 284-4149

Hospital & facility affiliations

  • 3HC Home health agency, Goldsboro, NC, CCN 347104
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Johnston Health Hospital, Smithfield, NC, CCN 340090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Medical Care, Inc. CurrentSince Aug 22, 2024 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network LLC CurrentSince May 26, 2025 Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

400 N Englewood Dr
Kenly, NC 27542
Phone (919) 284-4149

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

4505 Fair Meadows Ln
Ste 101
Raleigh, NC 27607
Phone (919) 783-9600

Interoperability endpoints

  • Direct secure messaging: rshedrick1050805@direct.unc.nchie.net

Organizations & group practices 3

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1053143404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 RELICT DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275276736",
            "telephone_number": "919-791-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076449",
            "telephone_number": "919-787-4000",
            "fax_number": "919-787-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Englewood Dr",
            "address_purpose": "LOCATION",
            "city": "Kenly",
            "state": "NC",
            "postal_code": "275429290",
            "country_code": "US",
            "telephone_number": "919-284-4149",
            "fax_number": "919-284-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEDRICK",
        "first_name": "REBECCA",
        "middle_name": "LOUISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rshedrick1050805@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "400 N Englewood Dr",
            "city": "Kenly",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275429290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.