Shannon Kimmel
NPI 1104505890 · Family Nurse Practitioner · Charlotte, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Kimmel is a Family Nurse Practitioner provider in Charlotte, NC (NPI 1104505890).
Provider details
- NPI number
- 1104505890
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5018442 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,079 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 1,393 | $59 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 247 | $86 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 180 | $106 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 154 | $144 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 74 | $122 |
| Aspiration And/Or Injection of Fluid From Large Joint |
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-12
- Last updated
- 2025-09-26
- Certified
- 2025-09-26
Frequently asked questions
- What is Shannon Kimmel's NPI number?
- Shannon Kimmel's National Provider Identifier (NPI) is 1104505890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Kimmel's specialty?
- Shannon Kimmel is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Kimmel located?
- Shannon Kimmel's practice location on file with NPPES is 9200 Glenwater Dr, Charlotte, NC 28262-8557.
- What is Shannon Kimmel's phone number?
- The practice phone number listed in the NPPES registry for Shannon Kimmel is (901) 603-8704.
- Does Shannon Kimmel accept Medicare?
- Shannon Kimmel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Kimmel's NPI active?
- Yes — Shannon Kimmel's NPI (1104505890) is active in the NPPES registry as of the last update on 2025-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.