Shane Sundlie, MD
NPI 1154813764 · Pediatrics Physician · Clinton, NC
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Sundlie, MD is a Pediatrics Physician provider in Clinton, NC (NPI 1154813764).
Provider details
- NPI number
- 1154813764
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2021-01125 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-31
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Frequently asked questions
- What is Shane Sundlie's NPI number?
- Shane Sundlie's National Provider Identifier (NPI) is 1154813764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Sundlie's specialty?
- Shane Sundlie is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Shane Sundlie located?
- Shane Sundlie's practice location on file with NPPES is 403 Fairview St, Clinton, NC 28328-2399.
- What is Shane Sundlie's phone number?
- The practice phone number listed in the NPPES registry for Shane Sundlie is (910) 592-6011.
- Does Shane Sundlie accept Medicare?
- Shane Sundlie is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Sundlie's NPI active?
- Yes — Shane Sundlie's NPI (1154813764) is active in the NPPES registry as of the last update on 2022-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.