SHANNON MILLER (CRNP) – Family Medicine Physician, NPI 1508685884

Family Medicine Physician

SHANNON MILLER (CRNP) is a healthcare provider. based in Clanton, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-092253 (AL). The NPI Number for SHANNON MILLER (CRNP) is 1508685884

Main info

Female

2 Years Of Experience

Accepts Medicare Assignment

Name

SHANNON MILLER (CRNP)

NPI

1508685884

Phone

(205) 415-7600

Address

203 7TH ST S UNIT B

Enumeration Date

4 October 2024

Last Update Date

4 October 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2052801010

Graduation Year

2024 (2 years ago)

PAC ID

9133648231

Group Practice PAC ID

8426077199

Professional Enrollment ID

I20250521003523

Address ID

AL350452344CL107XXDRXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness75

Years active:1State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for SHANNON MILLER (CRNP)

203 7TH ST S UNIT B
CLANTON, AL 350453703
Phone: (205) 415-7600
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20250521003523	I	Nurse Practitioner	AL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8426077199View full group profile

Name	Specialty	State
DR. JEFFREY F PRICE (M.D.)	Family Practice	AL
BRITTANY TUCKER (FNP)	-	AL
MANDY LEIGH WILLIAMS	Nurse Practitioner	AL
THOMAS ALEXANDER KOEN (APRN,AGNP-C)	-	AL
ASHLEE CARLO (CRNP)	Nurse Practitioner	AL