MRS. JACKIE MCNEILL-SHORTER PMHNP-BC NPI 1457003865

NPI Information

  • NPI: 1457003865
  • Provider Name: MRS. JACKIE MCNEILL-SHORTER, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5306 NC HIGHWAY 55 STE 105
    DURHAM, NC
    ZIP 27713
  • Phone: (919) 457-1517

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NPI Details

MRS. Jackie Mcneill-shorter, PMHNP-BC is a psychiatric/mental health nurse practitioner in Durham, NC. MRS. Jackie Mcneill-shorter, PMHNP-BC NPI is 1457003865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5306 NC HIGHWAY 55 STE 105
DURHAM, NC
ZIP 27713-812
Phone: (919) 457-1517
Fax: (919) 363-7697

The NPI 1457003865 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • New patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99327)

The enumeration date for this NPI number is 1/26/2022 and was last updated on 6/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health2021102013NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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