Renee Patrice Shaffer, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5017010 Issued in NC

Practice address

3164 US Highway 70
Black Mountain, NC 28711-6302

Phone

(305) 299-1648

NPI assigned

Aug 1, 2022

Last updated

Nov 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: reneeshaffer@fcims.allscriptsdirect.net

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1679200612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 US HIGHWAY 70",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287116302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 US HIGHWAY 70",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287116302",
            "telephone_number": "305-299-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "RENEE",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9440862",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Schermerhorn, LPCA
• Daniel Timon Scortea, PT, DPT
• Henry Alexander Seiler, LCSWA
• Annis Kiber Selig, LMBT
• Andrew Settlemyer, PHARMD
• Mary Shamburger, LMBT
• Kathleen Bradley Shannon, M.A.
• Sarah M Sheehan
• Crystal Shirk, MS, LAT, ATC
• Alanna Shivone, LMBT

• Family Nurse Practitioner in Black Mountain, NC
• Providers in Black Mountain, 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 Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.