Individual provider Active NPI

Traci I Sheaffer, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Raleigh, NC
National Provider Identifier
1427080233
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
00357 Issued in NC
Practice address
1520 Sunday Dr
Raleigh, NC 27607-5253
Phone
(919) 782-3456
Fax
(919) 787-7552
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2003-00357 NC
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 00357 NC Primary

Addresses

Primary practice location

1520 Sunday Dr
Raleigh, NC 27607-5253

Mailing address

1540 Sunday Dr
Raleigh, NC 27607-6000
Phone (919) 782-3456

Other identifiers 1

IdentifierTypeStateIssuer
89134K4MedicaidNC

Other names 1

  • Dr. Traci E Irwin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsheaffer@rna.medalliesdirect.net Health Information Exchange (HIE)

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
I20040419001702 NC Practitioner - Neurology 7416942321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of North Carolina at Chapel Hill School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1520 Sunday Dr
Raleigh, NC 27607-5253

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as group
Quality
65.93
Promoting interoperability
100
Improvement activities
40
Cost
84.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00357NCMDPharmacy Technician
2003-00357NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Neurology Associates, P. a. Neurology CurrentSince Aug 1, 2003 Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

1520 Sunday Dr
Raleigh, NC 27607
Phone (919) 782-3456

1540 Sunday Dr
Raleigh, NC 27607
Phone (919) 782-3456

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25810/brand/1/csg/1/fhir/r4
  • Direct secure messaging: traci.sheaffer.1@25810.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1427080233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 SUNDAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076000",
            "telephone_number": "919-782-3456",
            "fax_number": "919-787-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075253",
            "telephone_number": "919-782-3456",
            "fax_number": "919-787-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAFFER",
        "first_name": "TRACI",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2003-00357",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NC",
            "license": "00357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134K4",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsheaffer@rna.medalliesdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1520 Sunday Dr",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276075253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "IRWIN",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.