SHANNON MARIE HICKS (FNP-C) – Nurse Practitioner, NPI 1871143685
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for SHANNON MARIE HICKS (FNP-C)
Munson Medical Center, 1105, Sixth Street, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States
TRAVERSE CITY, MI 496842345
Phone: (231) 392-0388
Type: Mailing
1109, Randolph Street, Traverse City, Garfield Township, Grand Traverse County, Michigan, 49684, United States
TRAVERSE CITY, MI 496842122
Phone: (970) 309-6624
Type: Location
1109 Randolph St
Traverse City, MI 496842122
Phone: (970) 309-6624
Type: Location
2585 W Houghton Lake Dr
Prudenville, MI 486519624
Phone: (989) 366-2900
Fax: (989) 366-1166
Type: Location
1250 E Michigan Ave
Grayling, MI 497387074
Phone: (989) 348-0550
Fax: (989) 348-0473
Type: Location
302 Hobart St
Cadillac, MI 496012379
Phone: (231) 876-2644
Type: Location
7985 S Mackinaw Trl
Cadillac, MI 496018111
Phone: (231) 876-6200
Type: Location
1200 W North Down River Rd Ste C
Grayling, MI 497388024
Phone: (989) 344-5910
Type: Location
234 Lake St
Roscommon, MI 486539203
Phone: (989) 275-1200
Type: Location
1321 S Mount Tom Rd
Mio, MI 486479518
Phone: (989) 344-5820
Type: Location
3860 S Straits Hwy
Indian River, MI 497495146
Phone: (231) 238-0581
Type: Location
829 N Center Ave Ste 210
Gaylord, MI 497351599
Phone: (989) 731-7860
Type: Location
3040 Bourn St
Lewiston, MI 497568134
Phone: (989) 786-4877
Type: Location
1996 Walden Dr
Gaylord, MI 497358241
Phone: (989) 731-4111
Type: Location
14705 W Upright St
Charlevoix, MI 497201949
Phone: (231) 547-8544
Type: Location
14734 Park Ave
Charlevoix, MI 497201927
Phone: (231) 547-6554
Type: Location
223 N Park St
Boyne City, MI 497121220
Phone: (231) 582-5314
Type: Location
8881 M 119
Harbor Springs, MI 497409816
Phone: (231) 347-5400
Type: Location
1619 Anderson Rd
Petoskey, MI 497709256
Phone: (231) 417-6050
Fax: (231) 213-8749
Type: Location
550 MUNSON AVE
TRAVERSE CITY, MI 496863580
Phone: (231) 935-8686
Fax: (231) 935-8708
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $221.
Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.
Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Novo Nordisk Inc ($157).
Total Amount
$221
General + Research + Ownership
Payments
7
Total payment records
General Amount
$221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $157 |
| Exact Sciences Corporation | $37 |
| AstraZeneca Pharmaceuticals LP | $14 |
| GlaxoSmithKline, LLC. | $13 |
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: 2020-03-29
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 |
|---|---|---|---|---|
| I20200329000366 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 49684)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| - | NY |
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