DR. SHANNON MARIE LOWDER (PSY.D.) – Clinical Psychologist, NPI 1700047297

DR. SHANNON MARIE LOWDER (PSY.D.) is a healthcare provider. based in Jackson, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 6301010931 (MI). The NPI Number for DR. SHANNON MARIE LOWDER (PSY.D.) is 1700047297

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON MARIE LOWDER (PSY.D.)
NPI
1700047297
Phone
(517) 750-3869
Address
6692 SPRING ARBOR RD
Enumeration Date
18 June 2008
Last Update Date
23 July 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5179984673
Graduation Year
2008 (18 years ago)
PAC ID
3173838653
Group Practice PAC ID
0547575029
Professional Enrollment ID
I20150902002935
Address ID
MI492012102JA207XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for DR. SHANNON MARIE LOWDER (PSY.D.)

  • Spring Arbor Road, Concord, Concord Township, Jackson County, Michigan, 49237, United States

    JACKSON, MI 492019322

    Phone: (517) 750-3869

    Fax: (517) 750-3673

    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: 2015-09-02

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
I20150902002935IClinical PsychologistMITBD

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 49201)

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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: 0547575029View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
-MI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Where can patients find DR. SHANNON MARIE LOWDER (PSY.D.)'s NPI?
You can confirm DR. SHANNON MARIE LOWDER (PSY.D.) with NPI 1700047297; it appears in the national provider directory.
Is DR. SHANNON MARIE LOWDER (PSY.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. SHANNON MARIE LOWDER (PSY.D.)?
The page reflects Clinical Psychologist for DR. SHANNON MARIE LOWDER (PSY.D.). Clinical services aligned with this taxonomy classification.
Where is DR. SHANNON MARIE LOWDER (PSY.D.)'s primary listing?
We display Jackson, Michigan because that is what the record indicates for DR. SHANNON MARIE LOWDER (PSY.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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