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

Stephanie Shannon Pascale, NP

Individual provider Nurse Practitioner · NPI 1396209326

Stephanie Shannon Pascale, NP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2018, 8 years ago. Practices with Southern Dermatology PA, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4201 Lake Boone Trl Ste 200
Raleigh, NC 27607-7511
Phone: (919) 782-2152
Fax: (919) 782-7929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Springfield Commons Dr, Raleigh, NC 27609-8532 — (919) 876-3656

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5011367 (NC)

Record details

NPI number1396209326
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 23, 2019
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

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)
Group practice Southern Dermatology Pa — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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