SHANNON MARIE MICHAUD (FNP-BC) – Adult Health Nurse Practitioner, NPI 1093073041

SHANNON MARIE MICHAUD (FNP-BC) is a healthcare provider. based in Tawas city, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704245947 (MI). The NPI Number for SHANNON MARIE MICHAUD (FNP-BC) is 1093073041

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON MARIE MICHAUD (FNP-BC)
NPI
1093073041
Phone
(989) 362-9411
Address
PO BOX 779
Enumeration Date
27 April 2012
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
SAGINAW VALLEY MEDICAL COLLEGE - NLG
Secondary Phone
9284456025
Graduation Year
2012 (14 years ago)
PAC ID
8325294143
Group Practice PAC ID
5294898987
Professional Enrollment ID
I20221027002027
Address ID
AZ863011614PR1001XRDXX403
Telehealth
Yes

Contacts

Secure Messaging
shannonmichaud@smomsjhs.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

8,105 NURSE PRACTITIONER in MI

Provider Addresses for SHANNON MARIE MICHAUD (FNP-BC)

  • PO BOX 779

    TAWAS CITY, MI 487640779

    Phone: (989) 362-9411

    Fax: (989) 362-9925

    Type: Mailing

  • 116 S CHURCH ST

    HALE, MI 487399272

    Phone: (989) 728-4211

    Fax: (989) 728-4334

    Type: Location

  • 1001 WILLOW CREEK RD STE 2200

    PRESCOTT, AZ 863011614

    Phone: (928) 445-6025

    Fax: (928) 778-3026

    Type: Location

  • PO BOX 10880

    PRESCOTT, AZ 863040880

    Phone: (602) 406-4786

    Fax: (916) 636-4358

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $1,902.

Total Amount is formed as General ($1,902) + Research ($0) + Ownership ($0) = $1,902.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Boston Scientific Corporation ($1,054).

Total Amount

$1,902

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,902

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2022-10-27

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
I20221027002027INurse PractitionerAZTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes246211$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report108102$0
99215Established patient office or other outpatient visit, 40-54 minutes7063$0
93298Evaluation of cardiac rhythm monitor system, remote up to 30 days4815$0
93228Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional3131$0
View full utilization report →

Insurance plans in this area (ZIP 48764)

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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: 5294898987View full group profile
NameSpecialtyState
-MI
Orthopedic SurgeryAZ
Physician AssistantAZ
Family PracticeAZ
Nurse PractitionerSC
-TN
Cardiovascular Disease (Cardiology)AZ
-AZ
P S Y C H I A T R YAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Where can patients find SHANNON MARIE MICHAUD (FNP-BC)'s NPI?
You can confirm SHANNON MARIE MICHAUD (FNP-BC) with NPI 1093073041; it appears in the national provider directory.
Does this profile mean SHANNON MARIE MICHAUD (FNP-BC) is currently active?
Yes — SHANNON MARIE MICHAUD (FNP-BC) appears active in the national provider directory.
Can you summarize SHANNON MARIE MICHAUD (FNP-BC)'s specialty in plain language?
Clinically, the directory lists SHANNON MARIE MICHAUD (FNP-BC) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for SHANNON MARIE MICHAUD (FNP-BC)?
We surface Tawas City, Michigan for SHANNON MARIE MICHAUD (FNP-BC) based on available NPPES addresses.
What if Tawas City, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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