SHANNON NICOLE MARSDEN (MD) – Family Medicine Physician, NPI 1053792259
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
Provider Addresses for SHANNON NICOLE MARSDEN (MD)
1423 N JEFFERSON AVE STE B100
SPRINGFIELD, MO 658021917
Phone: (417) 269-8817
Fax: (417) 269-8744
Type: Location
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 657751828
Phone: (417) 255-8645
Type: Location
180 S Kentucky Ave
West Plains, MO 657752082
Phone: (417) 256-7078
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2023-06-29 • Largest payer in this snapshot: Organogenesis Inc. ($66).
Total Amount
$66
General + Research + Ownership
Payments
1
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $66 |
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: 2018-07-14
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 |
|---|---|---|---|---|
| I20180714000100 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 151 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 62 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 84 | 69 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 42 | 34 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 35 | 35 | $0 |
Insurance plans in this area (ZIP 65802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | OK | |
| - | IL | |
| Internal Medicine, Rheumatology | MO | |
| A N E S T H E S I O L O G Y | MO | |
| - | MO | |
| - | IL | |
| Nurse Practitioner | AR | |
| Internal Medicine | MO |
Reviews
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