Shannon Gillikin

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

5023162 Issued in NC

Practice address

1040 Medical Park Ave
New Bern, NC 28562-5248

Phone

(252) 514-2061

Fax

(252) 514-2745

NPI assigned

Sep 23, 2025

Last updated

Sep 23, 2025By the provider in NPPES

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

Jefferson Medical College of Thomas Jefferson University, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Pollocksville, NC, CCN 347333

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

• Coastal Carolina Health Care PA

  dba CCHC Central Lab

  • Internal Medicine Physician
  • New Bern, NC
  • NPI 1750567970
  Medicare reassignment Care Compare group NPD
• Coastal Carolina Health Care PA

  dba CCHC New Bern Family Practice and CCHC Urgent Care

  • Family Medicine Physician
  • New Bern, NC
  • NPI 1366498297
  NPD
• Coastal Carolina Health Care PA

  dba CCHC Extended Care

  • Internal Medicine Physician
  • New Bern, NC
  • NPI 1528623790
  NPD
• Coastal Carolina Health Care PA

  dba CCHC Morehead City Family Practice

  • Family Medicine Physician
  • Morehead City, NC
  • NPI 1821959610
  NPD
• Coastal Carolina Health Care PA

  dba CCHC New Bern Internal Medicine Specialists

  • Internal Medicine Physician
  • New Bern, NC
  • NPI 1780623207
  NPD (past)

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

• Tar Heel Health Care Services, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Pollocksville, NC
  • NPI 1043243835
  Care Compare affiliation

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1720950256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 MEDICAL PARK AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625248",
            "telephone_number": "252-514-2061",
            "fax_number": "252-514-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MEDICAL PARK AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625248",
            "telephone_number": "252-514-2061",
            "fax_number": "252-514-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIKIN",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5023162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vera Monique Gibson, LPCA
• Jacqueline Giganti
• Johanna Mae Gilbert, RN, IBCLC
• Brent Richard Gill, MD
• Jennie Michelina Gillespie, D.O.
• Louise K. Gilmore, MPT
• Dannielle Gilroy
• Tera Ashley Giroux, D.C.
• Billy L Glass, MD
• Cassie Glembocki, M.S. CCC-SLP

• Gerontology Nurse Practitioner in New Bern, NC
• Providers in New Bern, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.