Individual provider Active NPI

Sherlene Elane McNallan, FNP-C

  • Nurse Practitioner
  • Clayton, NC
National Provider Identifier
1730530692
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008648 Issued in NC
Practice address
204 Dairy Rd
Clayton, NC 27520-7216
Phone
(919) 553-8232
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5008648 NC
Nurse Practitioner 363L00000X 5008648 NC Primary

Addresses

Primary practice location

204 Dairy Rd
Clayton, NC 27520-7216

Mailing address

204 Dairy Rd
Clayton, NC 27520-7216
Phone (919) 553-8232

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
I20200505002569 NC Practitioner - Nurse Practitioner 5395176424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

1987 Hilton Rd
Burlington, NC 27217-2968
Phone (540) 814-5344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5008648NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hydration Family Current Accepting new patients
Pai Participant 29, P.C. CurrentSince Jun 17, 2025 Accepting new patients
County of Sampson CurrentSince Apr 7, 2020 Accepting new patients
County of Sampson CurrentSince Apr 7, 2020 Accepting new patients
Universal Health Corporation CurrentSince Jan 4, 2025 Accepting new patients
Abc Pediatrics of Dunn, PA Past Accepting new patients

Locations

1987 Hilton Rd
Burlington, NC 27217
Phone (336) 226-0848

204 Dairy Rd
Clayton, NC 27520
Phone (919) 550-5128

360 County Complex Rd
Ste 200
Clinton, NC 28328
Phone (910) 592-1131

1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133

130 Church Ave SW
Roanoke, VA 24011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19232/brand/1/csg/1/fhir/r4

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1730530692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 DAIRY RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207216",
            "telephone_number": "919-553-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 DAIRY RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207216",
            "telephone_number": "919-553-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALLAN",
        "first_name": "SHERLENE",
        "middle_name": "ELANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008648",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.