Individual provider Active NPI

Shelley Yvonne Brown, NP-C

  • Family Nurse Practitioner
  • Elizabethtown, NC
National Provider Identifier
1437449733
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
135309 Issued in NC
Practice address
300A E McKay St
Elizabethtown, NC 28337-9037
Phone
(910) 862-5500
Fax
(910) 862-5501
NPI assigned
Apr 8, 2011
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 135309 NC Primary

Addresses

Primary practice location

300A E McKay St
Elizabethtown, NC 28337-9037

Mailing address

PO Box 517
Elizabethtown, NC 28337-0517
Phone (910) 862-5500

Other practice location 1

1106 W Seaboard St
Bladenboro, NC 28320-6985
Phone (910) 863-3138

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
I20140109001704 NC Practitioner - Nurse Practitioner 6507945615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bladen Healthcare LLCGroup PAC ID 6800967969, 41 clinicians

Practice addresses (Care Compare)

1106 W Seaboard St
Bladenboro, NC 28320-6985
Phone (910) 863-3138

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135309NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bladen Healthcare, LLC CurrentSince Oct 22, 2013 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Bladen Healthcare LLC CurrentSince Oct 22, 2013 Accepting new patients
Bladen Medical Associates Past Accepting new patients
Bladen Healthcare, LLC Past Accepting new patients

Locations

1106 W Seaboard St
Bladenboro, NC 28320
Phone (910) 863-3138

300A E McKay St
Elizabethtown, NC 28337
Phone (910) 862-5500

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

630 S Madison St
Whiteville, NC 28472
Phone (910) 642-7463

Interoperability endpoints

  • Direct secure messaging: sbrown10403@capefearvalley.direct-ci.com

Organizations & group practices 5

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 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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1437449733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283370517",
            "telephone_number": "910-862-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A E MCKAY ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379037",
            "telephone_number": "910-862-5500",
            "fax_number": "910-862-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 W Seaboard St",
            "address_purpose": "LOCATION",
            "city": "Bladenboro",
            "state": "NC",
            "postal_code": "283206985",
            "country_code": "US",
            "telephone_number": "910-863-3138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHELLEY",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "135309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

Verify at the official NPI Registry.