Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Meredith Leigh Shillinglaw, PA

Individual provider Physician Assistant · NPI 1043703523

Meredith Leigh Shillinglaw, PA is a Physician Assistant in Raleigh, North Carolina. Graduated from Wake Forest University School of Medicine in 2018, 8 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and North Carolina.

Years since qualifying
8
Trained at
Wake Forest University School of Medicine
Licensed in
CO, NC
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-7270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 Rocky Mountain Ave Ste 360, Loveland, CO 80538-9004 — (970) 221-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08162 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA.0008647 (CO)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1043703523
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 11, 2018
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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