Jessica Pierce Shahnizadeh, PNP-AC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Charlotte, North Carolina. Her current practice location is
1900 Randolph Rd Ste 210, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 370-0223.
Jessica Pierce Shahnizadeh is licensed to practice in North Carolina (license number 251229) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225525538.
Physician's Profile
| Full Name | Jessica Pierce Shahnizadeh |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 1900 Randolph Rd Ste 210, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225525538
- Provider Enumeration Date: 04/23/2018
- Last Update Date: 12/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486188034
- Enrollment ID: I20241105003463
Medical Identifiers
Medical identifiers for Jessica Pierce Shahnizadeh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225525538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2086S0120X | Surgery - Pediatric Surgery | 5010419 (North Carolina) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 251229 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Pierce Shahnizadeh allows following entities to bill medicare on her behalf.
| Entity Name | Carolinas Physicians Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Pierce Shahnizadeh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jessica Pierce Shahnizadeh, PNP-AC Po Box 19305, Charlotte, NC 28219-9305 Ph: (704) 631-0002 | Jessica Pierce Shahnizadeh, PNP-AC 1900 Randolph Rd Ste 210, Charlotte, NC 28207-1106 Ph: (704) 370-0223 |
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