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NPI · 1508299777 · NPPES-sourced

Ms. Shannon Clark Agnp RN

ActiveNurse Practitioner
NPI Number
1508299777
Type 1 · Individual
Taxonomy Code
363L00000X
Contact
(919) 231-3966
License NC · 5006374
Last Updated
About 15 months ago (Feb 2025)
Enumerated 2013-08-12
Primary practice addressNC · 27609-7172
3700 Barrett Dr Ste 200Raleigh, NC 27609-7172
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About this NPIWhat this record shows.

NPI 1508299777 is registered to Ms. Shannon Clark Agnp RN, a Nurse Practitioner practising at 3700 Barrett Dr Ste 200 in Raleigh, North Carolina. Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ms. Shannon Clark Agnp RN has been enumerated in the National Provider Identifier (NPI) registry since 2013.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2013-08-12
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ms. Shannon Clark Agnp RN accepts. To confirm in-network status with your specific health plan, contact Ms. Shannon Clark Agnp RN directly at (919) 231-3966.

Frequently asked

Yes. NPI 1508299777 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (919) 231-3966.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ms. Shannon Clark Agnp RN is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363L00000X
Last updated2025-02
Enumerated2013-08-12
StatusActive
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