Nykichia Shamon Shaw, WHNP-BC

Nurse Practitioner (CMS) · Raeford, NC

Call (910) 904-8035 Directions

At a glance

300 Medical Pavilion Dr Ste 250, Raeford, NC 28376-0018

NPPES record updated Sep 24, 2026. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

How to check your coverage

Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.

Check the official Medicare directory ↗

Practice location

300 Medical Pavilion Dr Ste 250
Raeford, NC 28376-0018

Additional reported practice locations

1341 Walter Reed Rd
Fayetteville, NC 283044415
Phone: 9106153500
Fax: 9106153560
6387 Ramsey St Unit 240
Fayetteville, NC 283119442
Phone: 9106153999
683 E Palmer St
Raeford, NC 283766648
Phone: 9108753717
Po Box 1829
Fayetteville, NC 283021829
Phone: 9104333600
REPORTED BACKGROUND

Education & affiliations

Medical / professional school
Not reported in this file
Graduation year
2023
CMS specialties
Nurse Practitioner

Practice groups

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

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PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Service-mix comparison is unavailable for this NPI in the imported Medicare service file.

PAYMENT TRANSPARENCY

Industry-reported general payments

No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record
NPI1588412258
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Registry details

Primary taxonomy
Nurse Practitioner (CMS)
Taxonomy code
363LW0102X
Enumeration date
May 8, 2024
Record updated
Sep 24, 2026
More registry details
Provider type
Individual · Type 1
Reported credentials
WHNP-BC

Reported taxonomies and licenses

Specialty details in registry

363LW0102X · Primary

License reported: 5019848 NC

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

300 Medical Pavilion Dr Ste 250
Raeford, NC 28376-0018
Phone
(910) 904-8035
Fax
(910) 615-9752
Mailing address
1341 WALTER REED RD

FAYETTEVILLE, NC 283044415
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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