SHANNON B PALMER (AUD, PHD) – Audiologist, NPI 1023395886

SHANNON B PALMER (AUD, PHD) is a healthcare provider. based in Mt pleasant, Michigan. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD, PHD. They hold a License No. 1601000601 (MI). The NPI Number for SHANNON B PALMER (AUD, PHD) is 1023395886

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON B PALMER (AUD, PHD)
NPI
1023395886
Phone
(989) 774-3904
Address
1101 HEALTH PROFESSIONS BRG
Enumeration Date
8 November 2011
Last Update Date
8 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897743904
Graduation Year
2011 (15 years ago)
PAC ID
3779759352
Group Practice PAC ID
3577558907
Professional Enrollment ID
I20120103000476
Address ID
MI488590001MT1101XBLDG400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

302 QUALIFIED AUDIOLOGIST in MI

Provider Addresses for SHANNON B PALMER (AUD, PHD)

  • 1101 HEALTH PROFESSIONS BRG

    MT PLEASANT, MI 488590001

    Phone: (989) 774-3904

    Fax: (989) 774-1891

    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: 2012-01-03

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
I20120103000476IQualified AudiologistMITBD

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 48859)

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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: 3577558907View full group profile
NameSpecialtyState
-MI
Physician AssistantMI
Physical Therapist In Private PracticeMI
Qualified AudiologistMI
Qualified AudiologistMI
Physical Therapist In Private PracticeAZ
Qualified AudiologistMI
P S Y C H I A T R YOH
Physical Therapist In Private PracticeMI
Qualified AudiologistMI

Reviews

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Frequently asked questions

How do I look up SHANNON B PALMER (AUD, PHD) by NPI?
Use NPI 1023395886 when you need to reference SHANNON B PALMER (AUD, PHD) in forms, claims, or directories.
Is SHANNON B PALMER (AUD, PHD) active in the national directory?
SHANNON B PALMER (AUD, PHD)'s public NPI profile is in an active state.
What does SHANNON B PALMER (AUD, PHD) treat or focus on?
Patients typically see SHANNON B PALMER (AUD, PHD) under the specialty Audiologist. Clinical services aligned with this taxonomy classification.
Does SHANNON B PALMER (AUD, PHD) practice in Michigan?
You will see Mt Pleasant, Michigan on file for SHANNON B PALMER (AUD, PHD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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Allied Hearing

Audiologist
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NPI: 1508910704
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NPI: 1700084142