Staci Beth Shafer, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5006469 Issued in NC

Practice address

7845 Little Ave
Charlotte, NC 28226-8198

Phone

(704) 375-0100

Fax

(704) 887-6450

NPI assigned

Sep 12, 2013

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hospice and Palliative Care Charlotte RegionGroup PAC ID 1355331208, 19 clinicians

Hospice of Cleveland County, Inc.Group PAC ID 2668437914, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJDHDD

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.

• Hospice of Cleveland County, Inc.

  • Community Based Hospice Care Agency
  • Shelby, NC
  • NPI 1275536427
  Medicare reassignment Care Compare group NPD
• Hospice & Palliative Care Charlotte Region

  • Community Based Hospice Care Agency
  • Charlotte, NC
  • NPI 1548398720
  Medicare reassignment Care Compare group
• Bowen Primary & Urgent Care PA

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1003956079
  Medicare reassignment NPD
• Wake Forest Health Network LLC

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1477785756
  Medicare reassignment NPD
• Wake Forest Health Network LLC

  • Family Medicine Physician
  • Hickory, NC
  • NPI 1477828788
  NPD
• Wake Forest Health Network, LLC

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1053175299
  NPD
• Springs Road Consulting LLC

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1649623703
  NPD (past)
• Hospice & Palliative Care Charlotte Region

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fort Mill, SC
  • NPI 1417570771
  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1487089223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 LITTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268198",
            "telephone_number": "704-375-0100",
            "fax_number": "704-887-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Wendover Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503565",
            "country_code": "US",
            "telephone_number": "704-487-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "STACI",
        "middle_name": "BETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen L.M. Shaben
• Sarah Shackelford, RDN
• Lindsay Eileen Shade, PA
• Shadeline Specialty Logistics
• Sierra Shadrick
• Susan Shafer, LPC
• Alyson G. Shaffer, M.ED., BCBA
• Ashley Ann Shaffer, LMHCA
• Barbara Jean Shaffer, CNM
• Brett K Shaffer, MD

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, 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 Jul 7, 2025; 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.