SHANNON LEWIS (DNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1942830781

SHANNON LEWIS (DNP) is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 1-071591 (AL). The NPI Number for SHANNON LEWIS (DNP) is 1942830781

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON LEWIS (DNP)
NPI
1942830781
Phone
(251) 450-5916
Address
5750A SOUTHLAND DR
Enumeration Date
21 January 2020
Last Update Date
30 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2514355161
Graduation Year
2017 (9 years ago)
PAC ID
3476975590
Group Practice PAC ID
5799674131
Professional Enrollment ID
I20250820003256
Address ID
AL366073513MO5XXXXCIRX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for SHANNON LEWIS (DNP)

  • 5750A SOUTHLAND DR

    MOBILE, AL 366933316

    Phone: (251) 450-5916

    Fax: (251) 662-7297

    Type: Mailing

  • 1015 MONTLIMAR DR

    MOBILE, AL 366091713

    Phone: (251) 660-2360

    Type: Location

  • 5788 ORCHARD ST

    SATSUMA, AL 365722217

    Phone: (251) 604-9510

    Type: Mailing

  • 5 MOBILE INFIRMARY CIR

    MOBILE, AL 366073513

    Phone: (251) 435-2099

    Fax: (251) 435-6311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($45).

Total Amount

$141

General + Research + Ownership

Payments

5

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-20

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250820003256INurse PractitionerALTBD

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 36693)

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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: 5799674131View full group profile
NameSpecialtyState
Nurse PractitionerAL
P S Y C H I A T R YWI
Nurse PractitionerAL
Nurse PractitionerIA
-AR
Nurse PractitionerIA
Nurse PractitionerAL
P S Y C H I A T R YAL

Reviews

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Frequently asked questions

What number should I use to identify SHANNON LEWIS (DNP) for billing?
Administrative and clinical systems typically use NPI 1942830781 for SHANNON LEWIS (DNP).
Does the public listing show SHANNON LEWIS (DNP) as active?
SHANNON LEWIS (DNP)'s NPI record reflects an active status in NPPES.
What does the directory say SHANNON LEWIS (DNP) does?
Insurance directories may phrase it differently, but here SHANNON LEWIS (DNP) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit SHANNON LEWIS (DNP) in Mobile, Alabama?
For routing, start with Mobile, Alabama for SHANNON LEWIS (DNP), then verify phone and hours locally.
Who maintains SHANNON LEWIS (DNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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