SHANNON LACOVIC (FNP-C) – Family Nurse Practitioner, NPI 1780121145

SHANNON LACOVIC (FNP-C) is a healthcare provider. based in Lenox, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4704240822 (MI). The NPI Number for SHANNON LACOVIC (FNP-C) is 1780121145

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON LACOVIC (FNP-C)
NPI
1780121145
Phone
(586) 716-1371
Address
36267 26 MILE ROAD
Enumeration Date
24 January 2017
Last Update Date
4 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867161371
Graduation Year
2016 (10 years ago)
PAC ID
4587946447
Group Practice PAC ID
3476456252
Professional Enrollment ID
I20170130000550
Address ID
MI480483253LE36267RDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for SHANNON LACOVIC (FNP-C)

  • 36267 26 MILE ROAD

    SUITE 3

    LENOX, MI 480483166

    Phone: (586) 716-1371

    Fax: (586) 716-4855

    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)

CMS reports 81 Open Payments records for all available years, with a total value of $1,246.

Total Amount is formed as General ($1,246) + Research ($0) + Ownership ($0) = $1,246.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($345).

Total Amount

$1,246

General + Research + Ownership

Payments

81

Total payment records

General Amount

$1,246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2017-01-30

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
I20170130000550INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9373$0
99213Established patient office or other outpatient visit, 20-29 minutes6254$0
96372Injection of drug or substance under skin or into muscle4122$0
81003Automated urinalysis test2523$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2121$0
View full utilization report →

Insurance plans in this area (ZIP 48048)

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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: 3476456252View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
-MI
Family PracticeMI
Family PracticeMI
Nurse PractitionerMI
-MI
Family PracticeMI
Family PracticeMI

Reviews

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Frequently asked questions

What is the registry number for SHANNON LACOVIC (FNP-C)?
The registry entry for SHANNON LACOVIC (FNP-C) shows NPI 1780121145.
Should I treat SHANNON LACOVIC (FNP-C) as an active provider?
Patients and plans typically see SHANNON LACOVIC (FNP-C) as active in the national extract.
Which specialty label fits SHANNON LACOVIC (FNP-C)?
NPPES ties SHANNON LACOVIC (FNP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is SHANNON LACOVIC (FNP-C) tied to Lenox, Michigan?
If you are local to Lenox, Michigan, SHANNON LACOVIC (FNP-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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