Shanna M Walters, DNP-FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023087149 Issued in NC

Practice address

6150 Bayfield Pkwy
Concord, NC 28027-7486

Phone

(866) 389-2727

NPI assigned

Sep 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renew Wound Care SpecialistsGroup PAC ID 1153711940, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swalters2845888@carolinashealthcaresystem.direct-ci.com

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.

• Renew Wound Care Specialists

  • Nurse Practitioner
  • Cornelius, NC
  • NPI 1154087864

  SC

  Medicare reassignment Care Compare group NPD
• Renew Wound Care Center PLLC

  • General Practice Physician
  • Cornelius, NC
  • NPI 1881419398
  NPD

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1053197459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 BAYFIELD PKWY",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277486",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 BAYFIELD PKWY",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277486",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SHANNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "2023087149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Beth Walls, D.O.
• Bonnie Leanne Walsh, MSE, RD, LDN
• Charlene M Walsh, PA-C
• Vanessa M Walter, LCSWA
• Kelsey Nicole Walters, LCMHCA
• Susan M Walters, MA, CCC-SLP
• Brian Scott Walther, D.O.
• Michelle Xinyi Wang Nesdill, PHARMD
• Tracy Wangui
• Waning Waistlines LLC

• Family Nurse Practitioner in Concord, NC
• Providers in Concord, 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 Sep 10, 2026; 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.