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

Shannon Nicole Hogan

Individual provider Critical Care Medicine Registered Nurse · NPI 1356826705

Shannon Nicole Hogan is a Nurse Practitioner in Elizabeth City, North Carolina. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
8
Licensed in
NC, VA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1144 N Road St
Elizabeth City, NC 27909-3473
Phone: (252) 335-0531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5011082 (NC)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 0001270844 (VA)

Record details

NPI number1356826705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESOctober 6, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount