Individual provider Active NPI

Nevin Mahendra Shrimanker, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Wake Forest, NC
National Provider Identifier
1386828754
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
200701990 Issued in NC
Practice address
110 Capcom Ave Ste 200
Wake Forest, NC 27587-6531
Phone
(919) 229-4046
NPI assigned
Dec 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 200701990 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X 200701990 NC Primary

Addresses

Primary practice location

110 Capcom Ave Ste 200
Wake Forest, NC 27587-6531

Mailing address

PO Box 945395
Atlanta, GA 30394-5395
Phone (888) 820-9533

Other practice location 1

4420 Lake Boone Trail
Critical Health Systems Office - Rex Hospital
Raleigh, NC 27607
Phone (919) 784-3402

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nshrimanker9187@direct.UNC.nchie.net Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090813000570 NC Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6608920459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Raleigh Neurosurgical Clinic IncGroup PAC ID 1759315500, 52 clinicians

Practice addresses (Care Compare)

101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678

5241 Six Forks Rd
Suite 100
Raleigh, NC 27609-4431
Phone (919) 785-3400

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200701990NCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Neurosurgical Clinic, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Raleigh Neurosurgical Clinic, Inc. CurrentSince Mar 1, 2025 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Aug 3, 2009 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Aug 3, 2009 Accepting new patients

Locations

12610 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 405-1747

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

5838 Six Forks Rd
Ste 100
Raleigh, NC 27609

4420 Lake Boone Trl
Ofc Rex
Raleigh, NC 27607
Phone (919) 784-3402

110 Capcom Ave
Ste 200
Wake Forest, NC 27587
Phone (919) 229-4046

Interoperability endpoints

  • Direct secure messaging: nevin.shrimanker@23033.chartlogic.direct-ci.com
  • Direct secure messaging: nshrimanker9187@direct.unc.nchie.net
  • Direct secure messaging: nshrimanker46123@directhisp.wakemed.org

Organizations & group practices 4

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.

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": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1386828754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 945395",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303945395",
            "telephone_number": "888-820-9533",
            "fax_number": "919-873-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CAPCOM AVE STE 200",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876531",
            "telephone_number": "919-229-4046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Lake Boone Trail",
            "address_2": "Critical Health Systems Office - Rex Hospital",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27607",
            "country_code": "US",
            "telephone_number": "919-784-3402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRIMANKER",
        "first_name": "NEVIN",
        "middle_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "200701990",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "200701990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshrimanker9187@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trail",
            "address_2": "Critical Health Systems Office - Rex Hospital",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.