Individual provider Active NPI

Nadine Shivers, FNP-C

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1578080578
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017099 Issued in NC
Practice address
2909 Market St
Wilmington, NC 28403-1221
Phone
(910) 687-4888
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11334 AZ
Primary Care Nurse Practitioner 363LP2300X AP11334 AZ
Family Nurse Practitioner 363LF0000X 5017099 NC Primary

Addresses

Primary practice location

2909 Market St
Wilmington, NC 28403-1221

Mailing address

2909 Market St
Wilmington, NC 28403-1221
Phone (910) 687-4888

Other practice location 1

14040 N Cave Creek Rd Ste 205
Phoenix, AZ 85022-6179
Phone (602) 358-7073

Other identifiers 1

IdentifierTypeStateIssuer
450051MedicaidAZ

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
I20230727000125 NC Practitioner - Nurse Practitioner 2769737451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Solutions PLLCGroup PAC ID 3678527181, 24 clinicians

Practice addresses (Care Compare)

2909 Market St
Wilmington, NC 28403-1221
Phone (910) 795-2118

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Solutions PLLC CurrentSince Jul 5, 2023 Accepting new patients
Integrated Pain Solutions PLLC CurrentSince Jul 5, 2023 Accepting new patients

Locations

3145 Henderson Dr
Jacksonville, NC 28546
Phone (910) 728-4410

704 Progress Pl
#A
Laurinburg, NC 28352
Phone (910) 277-2999

20 Medical Campus Dr NW
Ste 207
Supply, NC 28462
Phone (910) 755-5066

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

800 Jefferson St
Ste 102
Whiteville, NC 28472
Phone (910) 445-2577

2909 Market St
Wilmington, NC 28403
Phone (910) 795-2118

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1578080578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031221",
            "telephone_number": "910-687-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031221",
            "telephone_number": "910-687-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14040 N Cave Creek Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850226179",
            "country_code": "US",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "NADINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11334",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP11334",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450051",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.