Individual provider Active NPI

Shana C Rhyne, ANP

  • Adult Health Nurse Practitioner
  • Connelly Springs, NC
National Provider Identifier
1407109309
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
202133 Issued in NC
Practice address
845 Malcolm Blvd
Connelly Springs, NC 28612
Phone
(828) 580-3555
Fax
(828) 874-2111
NPI assigned
Oct 17, 2012
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 202133 NC Primary

Addresses

Primary practice location

845 Malcolm Blvd
Connelly Springs, NC 28612

Mailing address

845 Malcolm Blvd
Connelly Springs, NC 28612
Phone (828) 580-3555

Other practice location 1

845 Malcolm Blvd
Rutherford College, NC 28671-0476
Phone (828) 874-0555

Other practice location 2

2209 S Sterling St Ste 440
Morganton, NC 28655-4093
Phone (828) 580-4334

Other practice location 3

695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278

Other practice location 4

2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787
Phone (828) 652-8727

Other identifiers 1

IdentifierTypeStateIssuer
1407109309MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130823001269 NC Practitioner - Nurse Practitioner 9133362015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

845 Malcolm Blvd
Connelly Springs, NC 28612-8615
Phone (828) 580-3555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
202133NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Nov 12, 2012 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jan 5, 2025 Accepting new patients
Women's Health Group Past Accepting new patients
Alan F Jacks, MD PA PastSince Aug 2, 2007 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. PastSince Nov 12, 2012 Accepting new patients

Locations

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0010533
  • Direct secure messaging: sproffittmsn603725@direct.unc.nchie.net

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1407109309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 MALCOLM BLVD",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "28612",
            "telephone_number": "828-580-3555",
            "fax_number": "828-874-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 MALCOLM BLVD",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "28612",
            "telephone_number": "828-580-3555",
            "fax_number": "828-874-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Malcolm Blvd",
            "address_purpose": "LOCATION",
            "city": "Rutherford College",
            "state": "NC",
            "postal_code": "286710476",
            "country_code": "US",
            "telephone_number": "828-874-0555",
            "fax_number": "828-874-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 S Sterling St Ste 440",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554093",
            "country_code": "US",
            "telephone_number": "828-580-4334",
            "fax_number": "828-580-4702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "695 W Fleming Dr",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554450",
            "country_code": "US",
            "telephone_number": "828-580-3278",
            "fax_number": "828-580-3279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2293 Sugar Hill Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287527787",
            "country_code": "US",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHYNE",
        "first_name": "SHANA",
        "middle_name": "C",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "202133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407109309",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connelly Springs, NC

Sources for this page

Verify at the official NPI Registry.