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

Shawn Edmund Van Wallendael, PA

Individual provider Physician Assistant · NPI 1376570689

Shawn Edmund Van Wallendael, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2000, 26 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Licensed in
NC
In the registry since
2006
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

10648 Park Rd
Charlotte, NC 28210-8407
Phone: (704) 355-9330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 275 Beatty Dr, Belmont, NC 28012-2715 — (704) 355-9330
  • 1100 Blythe Blvd, Charlotte, NC 28203-5814 — (704) 355-9330
  • 487 Lake Concord Rd Ne, Concord, NC 28025-2934 — (704) 403-0300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103076 (NC)

Record details

NPI number1376570689
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJuly 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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