SHANNON MARIE HICKS (FNP-C) – Nurse Practitioner, NPI 1871143685

SHANNON MARIE HICKS (FNP-C) is a healthcare provider. based in Traverse city, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4704284540 (MI). The NPI Number for SHANNON MARIE HICKS (FNP-C) is 1871143685

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON MARIE HICKS (FNP-C)
NPI
1871143685
Phone
(231) 392-0388
Address
1105 SIXTH ST
Enumeration Date
13 September 2019
Last Update Date
16 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9893662900
Graduation Year
2019 (7 years ago)
PAC ID
2365871209
Group Practice PAC ID
2062736655
Professional Enrollment ID
I20200329000366
Address ID
MI486519624PR2585XDRXX502
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

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

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: 2020-03-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200329000366INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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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: 2062736655View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Family PracticeMI
Family PracticeMI
Family PracticeMI
Internal MedicineMI
-NY

Reviews

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Frequently asked questions

Can I use this page to confirm SHANNON MARIE HICKS (FNP-C)'s NPI?
Yes. SHANNON MARIE HICKS (FNP-C) is listed with NPI 1871143685 in the public NPI dataset.
Does CMS list SHANNON MARIE HICKS (FNP-C) as active?
Yes — SHANNON MARIE HICKS (FNP-C) is active in the NPI listing used on this page.
What is SHANNON MARIE HICKS (FNP-C)'s primary classification?
Nurse Practitioner is the headline specialty for SHANNON MARIE HICKS (FNP-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for SHANNON MARIE HICKS (FNP-C)?
SHANNON MARIE HICKS (FNP-C)'s geographic hint is Traverse City, Michigan in our summary view.
Why does SHANNON MARIE HICKS (FNP-C) have multiple addresses?
21 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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