Individual provider Active NPI

Shalyn Ann Beck, NP

  • Nurse Practitioner
  • Advance, NC
National Provider Identifier
1811480106
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010580 Issued in NC
Practice address
121 Medical Dr
Advance, NC 27006
Phone
(336) 998-9060
NPI assigned
Jun 11, 2018
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010580 NC Primary
Family Nurse Practitioner 363LF0000X 303608 NY
Family Nurse Practitioner 363LF0000X 303608 NC

Addresses

Primary practice location

121 Medical Dr
Advance, NC 27006

Mailing address

218 Meadowfield Run
Clemmons, NC 27012-7477
Phone (419) 460-8825

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SBECK652737@DIRECT.NOVANTHEALTH.ORG

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
I20180821001789 NC Practitioner - Nurse Practitioner 4688923832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

121 Medical Dr
Advance, NC 27006-6651
Phone (336) 998-9060

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5010580NCMDNurse Practitioner
303608NCMDFamily Nurse Practitioner
303608NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2019 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

121 Medical Dr
Advance, NC 27006
Phone (336) 940-2407

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1225 Lewisville Clemmons Rd
Lewisville, NC 27023
Phone (336) 712-0700

165 Lowes Foods Dr
Lewisville, NC 27023
Phone (336) 893-2270

485 Valley Rd
Mocksville, NC 27028
Phone (336) 751-8000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

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, 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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1811480106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MEADOWFIELD RUN",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127477",
            "telephone_number": "419-460-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MEDICAL DR",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "27006",
            "telephone_number": "336-998-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "SHALYN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010580",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "303608",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "303608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SBECK652737@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "121 Medical Dr",
            "city": "Advance",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Advance, NC

Sources for this page

Verify at the official NPI Registry.