Active NPI
Shari Lynn Scott, RN
- Psychiatric/Mental Health Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1346931953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5018130
- Practice address
- 4601 Lake Boone TRL
Raleigh, NC 27607-0115 - Phone
- (984) 230-2416
- Fax
- (984) 220-9339
- NPI assigned
- May 16, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 157172 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5018130 | NC | Primary |
Addresses
Primary practice location
4601 Lake Boone TRL
Raleigh, NC 27607-0115
Mailing address
1748 Heritage Center Dr Ste 101
Wake Forest, NC 27587-9855
Phone (919) 899-0481
Other names 1
- Shari Lynn Ksobiech
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230706001979 | NC | Practitioner - Nurse Practitioner | 0244699437 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1748 Heritage Ctr Dr
Suite 101
Wake Forest, NC 27587
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157172 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Oaks Clinic PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Anam Cara Wellness PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Anam Cara Wellness PLLC | Current | Accepting new patients |
Locations
1748 Heritage Center Dr
Ste 101
Wake Forest, NC 27587
Phone (919) 529-5920
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.
-
- Psychiatry Physician
- Raleigh, NC
- NPI 1013846435
-
- Psychiatric/Mental Health Nurse Practitioner
- Raleigh, NC
- NPI 1508793142
-
- Psychiatry Physician
- Wake Forest, NC
- NPI 1184209470
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781395200000",
"number": "1346931953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1748 HERITAGE CENTER DR STE 101",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275879855",
"telephone_number": "919-899-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 LAKE BOONE TRL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276070115",
"telephone_number": "984-230-2416",
"fax_number": "984-220-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "SHARI",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2026-06-14",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "157172",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5018130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARI",
"last_name": "KSOBIECH",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.