Shalane Beth Moore, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

245667 Issued in NC

Practice address

917 N 4TH St
Wilmington, NC 28401-3450

Phone

(910) 202-8656

Fax

(910) 202-8680

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Shalane Beth Wallace Former name

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

Duke University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Hanover Community Health Center IncorporatedGroup PAC ID 1153220215, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• New Hanover Community Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Wilmington, NC
  • NPI 1912954090
  Medicare reassignment Care Compare group NPD
• Patient Centered Care, PLLC

  • Adult Health Nurse Practitioner
  • Wilmington, NC
  • NPI 1174714034
  Medicare reassignment NPD
• New Hanover Community Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Wilmington, NC
  • NPI 1457512691
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Novant Health New Hanover Regional Medical Center LLC

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1497285696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 MONROE ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016728",
            "telephone_number": "910-599-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N 4TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013450",
            "telephone_number": "910-202-8656",
            "fax_number": "910-202-8680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284013450",
            "country_code": "US",
            "telephone_number": "910-202-8640",
            "fax_number": "910-251-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHALANE",
        "middle_name": "BETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "245667",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "245667",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "245667",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "245667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALANE",
            "last_name": "WALLACE",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Andrew Moore
• Rebekah McLaurin Moore, COTA/L
• Richard S. Moore Jr., MD
• Robert Alexander Moore III, M.D.
• Robert M. Moore, M.D.
• Tammy Nicole Moore, M.D.
• Travis Moore, D.M.D.
• Tyler Moore, PA
• Yolonda Shevon Moore, MS, LCMHCA
• Charles Warren Moorehead, LCSWA

• Family Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, 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 Jun 9, 2026; 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.