Individual provider Active NPI

Shannon Hemmerle

  • Family Nurse Practitioner
  • Wilson, NC
National Provider Identifier
1083568265
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5024035 Issued in NC
Practice address
3302 Nash St N
Wilson, NC 27896-1232
Phone
(610) 741-8008
NPI assigned
Feb 24, 2026
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 5024035 NC Primary

Addresses

Primary practice location

3302 Nash St N
Wilson, NC 27896-1232

Mailing address

3302 Nash St N
Wilson, NC 27896-1232
Phone (252) 237-5237

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
I20260421001160 NC Practitioner - Nurse Practitioner 1254807837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Medical Group, PLLCGroup PAC ID 9638142490, 7 clinicians

Practice addresses (Care Compare)

3302 Nash St N
Wilson, NC 27896-1232
Phone (252) 237-5237

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5024035NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Medical Group, PLLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

2402 Camden St SW
Ste 800
Wilson, NC 27893
Phone (252) 237-5237

3302 Nash St N
Wilson, NC 27896
Phone (252) 237-5237

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDAAA/Endpoint/CCDAAA

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1083568265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961232",
            "telephone_number": "252-237-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961232",
            "telephone_number": "610-741-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMERLE",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.