SHANNON LEE SWANSON – Nurse Practitioner, NPI 1346614088

SHANNON LEE SWANSON is a healthcare provider. based in Bad axe, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704254119 (MI). The NPI Number for SHANNON LEE SWANSON is 1346614088

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON LEE SWANSON
NPI
1346614088
Phone
(989) 269-9521
Address
1100 S VAN DYKE RD
Enumeration Date
18 November 2015
Last Update Date
28 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
8820396161
Group Practice PAC ID
3971408121
Professional Enrollment ID
I20160419002722
Address ID
MI484530000MAPOXXXBOXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,161 NURSE PRACTITIONER in MI

Provider Addresses for SHANNON LEE SWANSON

  • 1100 S VAN DYKE RD

    BAD AXE, MI 484139615

    Phone: (989) 269-9521

    Type: Mailing

  • 2750 MAIN ST STE 2

    MARLETTE, MI 48453

    Phone: (989) 635-4104

    Fax: (877) 762-6751

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Novo Nordisk Inc ($61).

Total Amount

$94

General + Research + Ownership

Payments

6

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2016-04-19

PECOS data refreshed: 2026-06-15

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
I20160419002722INurse 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 48413)

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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: 3971408121View full group profile
NameSpecialtyState
General SurgeryMI
Family PracticeMI
-MI
Orthopedic SurgeryMI
Emergency Medicine, Hospitalist, Emergency Medicine, Internal MedicineMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
H E M A T O L O G Y/ O N C O L O G YMO
Family PracticeWA
P O D I A T R YMI

Reviews

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Frequently asked questions

What NPI should I save for SHANNON LEE SWANSON?
Save NPI 1346614088 if you need a stable reference for SHANNON LEE SWANSON.
Does this profile mean SHANNON LEE SWANSON is currently active?
Yes — SHANNON LEE SWANSON appears active in the national provider directory.
What does SHANNON LEE SWANSON treat or focus on?
Patients typically see SHANNON LEE SWANSON under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for SHANNON LEE SWANSON?
We surface Bad Axe, Michigan for SHANNON LEE SWANSON based on available NPPES addresses.
Is SHANNON LEE SWANSON a real provider?
This page reflects official NPPES data for NPI 1346614088. Always confirm identity and privileges with the practice and licensing boards.

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