SHANNON LOUISE SLOCUM – Family Nurse Practitioner, NPI 1295350429
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for SHANNON LOUISE SLOCUM
275 PORTAGE ST
SAINT IGNACE, MI 497811453
Phone: (757) 897-5060
Type: Mailing
1140 N STATE ST
SAINT IGNACE, MI 497811048
Phone: (906) 643-0466
Fax: (906) 643-0414
Type: Location
3860 S Straits Hwy
Indian River, MI 497495146
Phone: (231) 238-0581
Fax: (231) 238-0856
Type: Location
1105 SIXTH ST
TRAVERSE CITY, MI 496842300
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $824.
Total Amount is formed as General ($824) + Research ($0) + Ownership ($0) = $824.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($169).
Total Amount
$824
General + Research + Ownership
Payments
48
Total payment records
General Amount
$824
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $169 |
| AstraZeneca Pharmaceuticals LP | $148 |
| Amgen Inc. | $74 |
| Astellas Pharma US Inc | $50 |
| Lundbeck LLC | $49 |
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: 2020-08-07
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 |
|---|---|---|---|---|
| I20200807000474 | I | Nurse Practitioner | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49781)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Emergency Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Emergency Medicine, Internal Medicine | MI | |
| Family Practice | MI | |
| - | MI |
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