Shelby Layne Blackwell, FNP-C in Wilmington, NC

Shelby Layne Blackwell, FNP-C is a medicare enrolled "Nurse Practitioner" in Wilmington, North Carolina. Her current practice location is 3015 Enterprise Dr, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 791-3451.

Shelby Layne Blackwell is licensed to practice in North Carolina (license number 5020883) 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 1093546756.

Contact Information

	Shelby Layne Blackwell, FNP-C
	3015 Enterprise Dr, Wilmington, NC 28405-2116
	(910) 791-3451
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelby Layne Blackwell
Gender	Female
Speciality	Nurse Practitioner
Location	3015 Enterprise Dr, Wilmington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093546756
Provider Enumeration Date: 08/13/2024
Last Update Date: 01/06/2025

Medicare PECOS Information:

PECOS PAC ID: 5496282121
Enrollment ID: I20241219001745

Medical Identifiers

Medical identifiers for Shelby Layne Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093546756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1155658 (Texas)	Secondary
363L00000X	Nurse Practitioner	5020883 (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. Shelby Layne Blackwell allows following entities to bill medicare on her behalf.

Entity Name	Inpatient Consultants Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669422846 PECOS PAC ID: 5991720591 Enrollment ID: O20051012001172

Entity Name	Nm Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20200109003016

Entity Name	Cs Pacs 3 Southeast Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240815002813

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. Shelby Layne Blackwell 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
Shelby Layne Blackwell, FNP-C 1570 Raptor Terrace Ne, Bolivia, NC 28422 Ph: (210) 488-4023	Shelby Layne Blackwell, FNP-C 3015 Enterprise Dr, Wilmington, NC 28405-2116 Ph: (910) 791-3451

Reviews and Comments

Nurse Practitioner Nurses in Wilmington, NC

Travis Aaron Finkle, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2909 Market St, Wilmington, NC 28403 Phone: 910-687-4888
Carolyn Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970
Valerie Lynn Wegener, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8108b Market St, Wilmington, NC 28411 Phone: 910-341-3300 Fax: 910-251-2067
Mrs. Shannon Boney Mathis, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1090 Medical Center Dr, Wilmington, NC 28401 Phone: 910-662-8550 Fax: 910-343-1924
Nannette B Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-772-9202 Fax: 910-772-9452
Elizabeth Granger, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970
Kelly B Miller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2334 41st St, Wilmington, NC 28403 Phone: 910-641-4095

Shelby Layne Blackwell, FNP-C - Medicare Nurse Practitioner in Wilmington, NC