SHANNON VINSON (NP) – Family Nurse Practitioner, NPI 1043662398

SHANNON VINSON (NP) is a healthcare provider. based in Olive branch, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 889627 (MS). The NPI Number for SHANNON VINSON (NP) is 1043662398

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON VINSON (NP)
NPI
1043662398
Phone
(901) 292-4992
Address
7271 ALLISON RD
Enumeration Date
11 July 2016
Last Update Date
14 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6628905555
Graduation Year
2016 (10 years ago)
PAC ID
4880982503
Group Practice PAC ID
5294790861
Professional Enrollment ID
I20161013000200
Address ID
MS386729304SO3451XEXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for SHANNON VINSON (NP)

  • 7271 ALLISON RD

    OLIVE BRANCH, MS 386549203

    Phone: (901) 292-4992

    Type: Mailing

  • 7691 Poplar Ave

    Germantown, TN 381383904

    Phone: (901) 516-6970

    Type: Location

  • McIngvale Road, Hernando, DeSoto County, Mississippi, 38632, United States

    HERNANDO, MS 386328695

    Phone: (662) 429-4988

    Fax: (662) 298-2186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 97 Open Payments records for all available years, with a total value of $1,484.

Total Amount is formed as General ($1,484) + Research ($0) + Ownership ($0) = $1,484.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Lilly USA, LLC ($344).

Total Amount

$1,484

General + Research + Ownership

Payments

97

Total payment records

General Amount

$1,484

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2016-10-13

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
I20161013000200INurse PractitionerMSTBD

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 minutes183142$0
36415Insertion of needle into vein for collection of blood sample168128$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count137112$0
80053Blood test, comprehensive group of blood chemicals134108$0
80061Blood test, lipids (cholesterol and triglycerides)11295$0
View full utilization report →

Insurance plans in this area (ZIP 38654)

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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: 5294790861View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerGA
Internal MedicineMS
Physician AssistantTN
Family PracticeTN
Nurse PractitionerMS
Family PracticeMS
-MS
Internal Medicine, Pediatric MedicineMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

What unique ID ties claims to SHANNON VINSON (NP)?
NPI 1043662398 is assigned to SHANNON VINSON (NP) under the national enumeration system.
Does this profile mean SHANNON VINSON (NP) is currently active?
Yes — SHANNON VINSON (NP) appears active in the national provider directory.
Can you summarize SHANNON VINSON (NP)'s specialty in plain language?
Clinically, the directory lists SHANNON VINSON (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does SHANNON VINSON (NP) practice in Mississippi?
You will see Olive Branch, Mississippi on file for SHANNON VINSON (NP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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