Individual provider Active NPI

Shirley G Cates, NP

  • Nurse Practitioner
  • High Poine, NC
National Provider Identifier
1518258102
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005163 Issued in NC
Practice address
1814 Westchester Drive
Suite 301
High Poine, NC 27262-7369
Phone
(336) 802-2025
Fax
(336) 802-2026
NPI assigned
Apr 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 82629 NC
Nurse Practitioner 363L00000X 5005163 NC Primary

Addresses

Primary practice location

1814 Westchester Drive
Suite 301
High Poine, NC 27262-7369

Mailing address

2500 Summit Ave
Greensboro, NC 27405-4522
Phone (336) 802-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, NJ, GA, OH5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110802000024 NC Practitioner - Nurse Practitioner 9830368281 Reassigns benefits to 1 organization
I20231009001486 VA Practitioner - Nurse Practitioner 9830368281 Reassigns benefits to 1 organization
I20231110000207 NJ Practitioner - Nurse Practitioner 9830368281 Reassigns benefits to 1 organization
I20231115002898 GA Practitioner - Nurse Practitioner 9830368281 Reassigns benefits to 1 organization
I20240215000039 OH Practitioner - Nurse Practitioner 9830368281 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82629NCMDRegistered Nurse
5005163NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Jun 14, 2011 Accepting new patients
Wake Forest Health Network LLC CurrentSince Jun 14, 2011 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients
Cornerstone Health Care PA Past Accepting new patients

Locations

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

1814 Westchester Dr
Ste 301
High Point, NC 27262
Phone (336) 802-2025

Interoperability endpoints

  • Direct secure messaging: scates19936@carelonhealth.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1518258102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SUMMIT AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054522",
            "telephone_number": "336-802-2400",
            "fax_number": "336-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 WESTCHESTER DRIVE",
            "address_2": "SUITE 301",
            "city": "HIGH POINE",
            "state": "NC",
            "postal_code": "272627369",
            "telephone_number": "336-802-2025",
            "fax_number": "336-802-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATES",
        "first_name": "SHIRLEY",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "82629",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.