SHANNON LOUISE SLOCUM – Family Nurse Practitioner, NPI 1295350429

SHANNON LOUISE SLOCUM is a healthcare provider. based in Saint ignace, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704324144 (MI). The NPI Number for SHANNON LOUISE SLOCUM is 1295350429

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON LOUISE SLOCUM
NPI
1295350429
Phone
(757) 897-5060
Address
275 PORTAGE ST
Enumeration Date
12 June 2020
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
7911322961
Group Practice PAC ID
1456420876
Professional Enrollment ID
I20200807000474
Address ID
MI497811048ST1140XSTXX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200807000474INurse PractitionerMITBD

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 49781)

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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: 1456420876View full group profile
NameSpecialtyState
Family PracticeMI
Nurse PractitionerMI
-MI
Physician AssistantMI
Internal MedicineMI
Emergency MedicineMI
Certified Registered Nurse Anesthetist (Crna)MI
Emergency Medicine, Internal MedicineMI
Family PracticeMI
-MI

Reviews

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Frequently asked questions

How is SHANNON LOUISE SLOCUM identified in CMS data?
CMS-hosted NPPES data lists SHANNON LOUISE SLOCUM with NPI 1295350429.
Does CMS list SHANNON LOUISE SLOCUM as active?
Yes — SHANNON LOUISE SLOCUM is active in the NPI listing used on this page.
What taxonomy line describes SHANNON LOUISE SLOCUM?
For research purposes, treat SHANNON LOUISE SLOCUM as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does SHANNON LOUISE SLOCUM serve?
SHANNON LOUISE SLOCUM's listing highlights Saint Ignace, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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