MRS. SHANNON BURNETTE (RN,MSN) – Family Nurse Practitioner, NPI 1932293362

MRS. SHANNON BURNETTE (RN,MSN) is a healthcare provider. based in Quincy, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials RN,MSN. They hold a License No. 041305868 (IL). The NPI Number for MRS. SHANNON BURNETTE (RN,MSN) is 1932293362

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHANNON BURNETTE (RN,MSN)
NPI
1932293362
Phone
(217) 223-0423
Address
1516 KENTUCKY ST
Enumeration Date
2 October 2006
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883656271
Graduation Year
2004 (22 years ago)
PAC ID
1759418569
Group Practice PAC ID
6406190826
Professional Enrollment ID
I20230623001178
Address ID
VA232244923RI1601XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness85
Years active:19State licenses:3Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MRS. SHANNON BURNETTE (RN,MSN)

  • 1516, Kentucky Street, Quincy, Adams County, Illinois, 62301, United States

    QUINCY, IL 623014257

    Phone: (217) 223-0423

    Fax: (217) 223-0461

    Type: Mailing

  • 4409, Maine Street, Quincy, Adams County, Illinois, 62305, United States

    QUINCY, IL 623055849

    Phone: (217) 223-0423

    Fax: (217) 223-0461

    Type: Location

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: 2025-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20100428000291ICertified Clinical Nurse Specialist (Cns)DCTBD
I20100511000353ICertified Clinical Nurse Specialist (Cns)MDTBD
I20230623001178INurse PractitionerVATBD
I20250623002715INurse PractitionerIATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,255395$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes479162$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes220122$0
90792Psychiatric diagnostic evaluation with medical services153153$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes112112$0
View full utilization report →

Insurance plans in this area (ZIP 62301)

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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: 6406190826View full group profile

Reviews

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Frequently asked questions

How do payers reference MRS. SHANNON BURNETTE (RN,MSN)?
For MRS. SHANNON BURNETTE (RN,MSN), use NPI 1932293362 as the unique 10-digit identifier.
Is there an active status for MRS. SHANNON BURNETTE (RN,MSN)?
For scheduling context, MRS. SHANNON BURNETTE (RN,MSN) is shown as active in the registry.
What area of care is associated with MRS. SHANNON BURNETTE (RN,MSN)?
MRS. SHANNON BURNETTE (RN,MSN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. SHANNON BURNETTE (RN,MSN) associated with Quincy?
Public fields place MRS. SHANNON BURNETTE (RN,MSN) around Quincy, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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