Mari-Jane Shaffer, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

99003 Issued in NC

Practice address

2817 Reilly St
Fort Bragg, NC 28310-7324

Phone

(910) 907-6823

Fax

(910) 907-8972

NPI assigned

Aug 25, 2015

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

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

Specialty

Nurse Practitioner

Education

Duke University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Geode Health of North Carolina PLLCGroup PAC ID 2567801020, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mari-jane.shaffer.1@25899.direct.athenahealth.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.

• Geode Health of North Carolina, PLLC

  • Psychiatry Physician
  • Durham, NC
  • NPI 1588433502
  Medicare reassignment Care Compare group NPD
• Advaita Integrated Medicine PLLC

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1437727088
  Medicare reassignment NPD
• Duke University Affiliated Physicians, Inc.

  dba Sutton Station Internal Medicine

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1316975972
  Medicare reassignment NPD
• Duke University Affiliated Physicians, Inc.

  dba Duke Urgent Care

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1710120795
  NPD
• Duke University Affliated Physicians, Inc

  • Family Medicine Physician
  • Apex, NC
  • NPI 1205189602
  NPD

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1356718308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107324",
            "telephone_number": "910-907-6823",
            "fax_number": "910-907-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107324",
            "telephone_number": "910-907-6823",
            "fax_number": "910-907-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "MARI-JANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "99003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Neal Seidenberg, D.M.D.
• Matthew F Senger
• Andrea Seppelt, CLINICAL PHARMACIST
• Merwin Severtson, M.D.
• Maureen Marnell Sevilla, PA
• Amy E Shaffron, M/SLP
• Emily Shah, DO
• Casey C Shaheen
• Robert Craig Shakespeare, DMD
• Jacob Shanks, PA-C

• Family Nurse Practitioner in Fort Bragg, NC
• Providers in Fort Bragg, 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 Aug 25, 2015; 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.