Individual provider Active NPI

Shannon Lee Lynch, APRN, FNP-C

  • Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1922683085
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5021355 Issued in NC
Practice address
1814 New Hanover Medical Park Dr
Wilmington, NC 28403-5350
Phone
(910) 662-8765
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5021355 NC Primary
Family Nurse Practitioner 363LF0000X 218930 LA

Addresses

Primary practice location

1814 New Hanover Medical Park Dr
Wilmington, NC 28403-5350

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-8765

Other practice location 1

2400 Hospital Dr Ste 250
Bossier City, LA 71111-2390
Phone (318) 746-4460

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL slynch@wkhs.com
Other URL slynch@wkhs.com
Other URL slynch@wkhs.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210708001292 LA Practitioner - Nurse Practitioner 6709288160
I20250407003396 NC Practitioner - Nurse Practitioner 6709288160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group Coastal Region LLCGroup PAC ID 2860809936, 577 clinicians

Practice addresses (Care Compare)

1814 New Hanover Medical Park Dr
Wilmington, NC 28403-5350
Phone (910) 662-8765

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218930LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services LLC CurrentSince Feb 3, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Feb 3, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
New Hanover Medical Group PA Past Accepting new patients

Locations

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1814 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 452-3666

109 Scotts Hill Medical Dr
Ste 104
Wilmington, NC 28411
Phone (910) 662-8300

Interoperability endpoints

  • Direct secure messaging: slynch1653553@direct.novanthealth.org

Organizations & group practices 4

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.

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": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1922683085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 NEW HANOVER MEDICAL PARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035350",
            "telephone_number": "910-662-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Hospital Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112390",
            "country_code": "US",
            "telephone_number": "318-746-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5021355",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "slynch@wkhs.com",
            "affiliation": "N",
            "address_1": "2400 Hospital Dr Ste 250",
            "city": "Bossier City",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711112390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "slynch@wkhs.com",
            "affiliation": "N",
            "address_1": "2400 Hospital Dr Ste 250",
            "city": "Bossier City",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711112390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "slynch@wkhs.com",
            "affiliation": "N",
            "address_1": "2400 Hospital Dr Ste 250",
            "city": "Bossier City",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711112390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.