Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hannah Brittainy Shoupe, PA-C

Individual provider Physician Assistant · NPI 1215675160

Hannah Brittainy Shoupe, PA-C is a Physician Assistant in Hickory, North Carolina. Qualified in 2021, 5 years ago. Practices with Proactive Therapy of North Carolina Inc, a 565-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Missouri and North Carolina.

Years since qualifying
5
Licensed in
MO, NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2165 Medical Park Dr
Hickory, NC 28602-8809
Phone: (828) 459-6824
Fax: (828) 294-9141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 364-9000
  • 1050 W 10th St, Rolla, MO 65401-2905 — (573) 364-9000
  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 458-8899
  • 2109 Valleygate Dr Ste 201, Fayetteville, NC 28304-3571 — (910) 486-8880

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12315 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 2024041967 (MO)

Record details

NPI number1215675160
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 20, 2022
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Proactive Therapy Of North Carolina Inc — 565 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hickory