SHANNON POGUE (APRN) – Nurse Practitioner, NPI 1184082273
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for SHANNON POGUE (APRN)
10144 HIGHWAY 63 N STE A
BONO, AR 724167676
Phone: (870) 520-6069
Fax: (870) 994-7488
Type: Location
49 HIGHWAY 62 412
ASH FLAT, AR 725139594
Phone: (870) 994-7301
Fax: (870) 994-7488
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($87).
Total Amount
$119
General + Research + Ownership
Payments
6
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $87 |
| AstraZeneca Pharmaceuticals LP | $31 |
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: 2016-03-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160301000196 | I | Nurse Practitioner | AR | 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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 75 | 36 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 72 | 12 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 38 | 30 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 35 | 19 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
Insurance plans in this area (ZIP 72416)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Physician Assistant | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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