Active NPI
Shelby Layne Blackwell, FNP-C
- Nurse Practitioner
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5020883
- Practice address
- 5505 Currituck Dr Ste 200
Wilmington, NC 28403-1155 - Phone
- (910) 662-7720
- Fax
- (910) 777-5961
- NPI assigned
- Aug 13, 2024
- Last updated
- May 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5020883 | NC | Primary |
| Nurse Practitioner | 363L00000X | 1155658 | TX |
Addresses
Primary practice location
5505 Currituck Dr Ste 200
Wilmington, NC 28403-1155
Mailing address
1570 Raptor Terrace NE
Bolivia, NC 28422
Phone (210) 488-4023
Other practice location 1
3015 Enterprise Dr
Wilmington, NC 28405-2116
Phone (910) 791-3451
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000
3015 Enterprise Dr
Wilmington, NC 28405-2116
Phone (910) 791-3451
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1155658 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| NM Pacs 2 LLC | Current | Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Nurse Practitioner | Current | Accepting new patients |
| Inpatient Consultants of North Carolina, PC | Nurse Practitioner | Current | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
707 N Elm St
High Point, NC 27262
Phone (336) 885-0141
204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
179 Combs St
Sparta, NC 28675
Phone (336) 372-2441
3015 Enterprise Dr
Wilmington, NC 28405
Phone (910) 791-3451
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Kannapolis, NC
- NPI 1669422846
Nurse Practitioner
-
dba NHMGCR Cape Fear Heart
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Hospitalist Physician
- Raleigh, NC
- NPI 1790173680
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1093546756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 RAPTOR TERRACE NE",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "28422",
"telephone_number": "210-488-4023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 CURRITUCK DR STE 200",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031155",
"telephone_number": "910-662-7720",
"fax_number": "910-777-5961"
}
],
"practiceLocations": [
{
"address_1": "3015 Enterprise Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284052116",
"country_code": "US",
"telephone_number": "910-791-3451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKWELL",
"first_name": "SHELBY",
"middle_name": "LAYNE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-13",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5020883",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1155658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.