Shawn Edmund Van Wallendael, PA
Physician Assistant · Charlotte, NC
Shawn Edmund Van Wallendael, PA is a physician assistant with a practice address in Charlotte, North Carolina, and NPI 1376570689, issued on Jun 26, 2006. Check the license (North Carolina 103076, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shawn Edmund Van Wallendael
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 103076 NC
Self-reported in NPPES; status is on the state search - Practice location
- 10648 Park RD, Charlotte, NC 28210
- Phone
- (704) 355-9330
- Enumerated
- Jun 26, 2006
- Record last updated
- Jul 15, 2024
- Medicare enrollment
- Enrolled (PECOS I20070427000543); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 9,279 in North Carolina → Look up another NPI →
Also registered at 10648 Park RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Shawn Edmund Van Wallendael in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 103076Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 95.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Carolinas Medical CenterCharlotte, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shawn Edmund Van Wallendael among 9,279 physician assistant records in North Carolina
Shawn Edmund Van Wallendael, PA is one of 9,279 physician assistant records with a practice address in North Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 80% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2000 · median 2017 among the 6,366 with a school on file
- Record last updated2024 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,308 physician assistant records list a practice address in Charlotte
They are 1,308 of the 23,603 NPPES records with a practice address in Charlotte, and 9,279 physician assistant records in North Carolina.
All 9,279 in North Carolina → Every provider in Charlotte → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Charles Aaron, PACharlotte, NC 282101396718037
- Jessica Ambrose, PACharlotte, NC 282101922034016
- James Anderson, PACharlotte, NC 282101386606622
- Raymond Brown, P.A.Charlotte, NC 282101679541429
- Jennifer Bryson, PACharlotte, NC 282101831171404
- Mary Dore, PA-CCharlotte, NC 282101942220207
- Mary Horne, PA-CCharlotte, NC 282101477509958
- Julie Incorvaia, PACharlotte, NC 282101437124195
Common questions
What is Shawn Edmund Van Wallendael, PA's NPI number?
Shawn Edmund Van Wallendael, PA's National Provider Identifier (NPI) is 1376570689, issued on Jun 26, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Shawn Edmund Van Wallendael, PA located?
The NPPES record lists a practice address at 10648 Park RD, Charlotte, NC, 28210. Phone: (704) 355-9330. Providers update this record themselves, so call before visiting.
How can I verify Shawn Edmund Van Wallendael, PA's license?
NPPES lists North Carolina license number 103076, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
What is Shawn Edmund Van Wallendael, PA's MIPS final score?
The 2023 MIPS final score is 95.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.