CMS-1500 Box 24J / 33a • NPI
1104548718
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363L00000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner
Box 32 Service Location & ZIP+4
6 REGIONAL DR STE D, PINEHURST, NC, 28374-9868
✓ 9-Digit EDI 837 ZIP+4 (28374-9868)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104548718 (SHANNON HESTER ALLEY, DNP,FNP-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1104548718)
Medicare Beneficiaries
23
Total Billed Services
115
Distinct CPT/HCPCS Codes
6
Medicare Allowed Total
$5,336.95
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11042 | Removal of skin and tissue, 20.0 sq cm or less | 39 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 51 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Doxycycline Hyclate Doxycycline Hyclate | 14 | 12 |
| Santyl Collagenase Clostridium Hist. | 12 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104548718 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SHANNON HESTER ALLEY, DNP,FNP-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: 363L00000X (Nurse Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6 REGIONAL DR STE D, PINEHURST, NC, 28374-9868 |
| Practice Telephone / Fax | Tel: (910) 221-7195 | Fax: (910) 660-0984 |
| Administrative Mailing Address | 4731 CENTER RD, BLADENBORO, NC, 28320-8279 |
| Enumeration & Last Sync | Enumerated: 2022-09-12 | CMS Record Updated: 2026-03-23 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in PINEHURST
🔒 Are you SHANNON HESTER ALLEY, DNP,FNP-C? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363L00000X)
What Does Taxonomy Code 363L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SHANNON HESTER ALLEY, DNP,FNP-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: NC | License: 5019304 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.