Misty Dawn Shulenburger

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5015427 Issued in NC

Practice address

590 River Hwy Ste C
Mooresville, NC 28117-7803

Phone

(980) 447-9444

NPI assigned

Dec 6, 2021

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

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: misty.shulenburger.1@12871.direct.athenahealth.com
• Direct secure messaging: misty.shulenburger.1@32430.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.

• Cabarrus Rowan Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Concord, NC
  • NPI 1396782710
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1366100463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 RIVER HWY STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177803",
            "telephone_number": "980-447-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 RIVER HWY STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177803",
            "telephone_number": "980-447-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULENBURGER",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Young Sholar, D.D.S.
• Thomas Merrimon Sholar, DDS,OLLC
• Morgan Short
• Mia Shraga
• Lance Michael Shuff, LCMHC
• Dishema S. Shuler
• George Bryan Shuping
• Christine L Siegfried, LCSW
• Luticia Stoker Signet, LPC, NCC, PHD CAND
• Charles Van Sikes III, MD

• Family Nurse Practitioner in Mooresville, NC
• Providers in Mooresville, 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 Dec 6, 2021; 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.