SHANNON GLYNN – Family Nurse Practitioner, NPI 1063925022
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for SHANNON GLYNN
9904, Mercier Street, Lea Manor, Kansas City, Jackson County, Missouri, 64114, United States
KANSAS CITY, MO 641144257
Phone: (816) 510-8022
Type: Mailing
1914 SWIFT AVE
NORTH KANSAS CITY, MO 641163447
Phone: (816) 221-1603
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20171228000543 | I | Nurse Practitioner | MO | TBD |
| I20211025001277 | I | Nurse Practitioner | KS | 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 | 363 | 336 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 114 | 114 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 80 | $0 |
| 81003 | Automated urinalysis test | 69 | 63 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 33 | 33 | $0 |
Insurance plans in this area (ZIP 64114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Family Practice | KS | |
| - | MO | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Family Practice | MO | |
| - | KS |
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