DR. SHANNON M JENNINGS (M.D.) – Psychiatry Physician, NPI 1285715847
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
Provider Addresses for DR. SHANNON M JENNINGS (M.D.)
1300 E Bradford Pkwy Bldg A
Springfield, MO 658044264
Phone: (417) 761-5000
Type: Location
2799 W Grand Blvd
Detroit, MI 482022608
Phone: (800) 653-6568
Type: Location
105 Far West Dr Ste 203
Saint Joseph, MO 645063514
Phone: (816) 271-8133
Fax: (816) 271-8134
Type: Location
7601 Southcrest Pkwy
Southaven, MS 386714739
Phone: (662) 772-4000
Fax: (662) 772-2111
Type: Location
440 Forest Blvd
Park Forest, IL 604662002
Phone: (708) 252-8421
Type: Location
403 N State of Franklin Rd
Johnson City, TN 376046034
Phone: (423) 431-7111
Type: Location
5301 FARAON ST STE 120
SAINT JOSEPH, MO 645063512
Phone: (816) 271-1066
Fax: (816) 271-6786
Type: Mailing
Burrell Behavioral Health, 1300, East Bradford Parkway, Springfield, Greene County, Missouri, 65804, United States
SPRINGFIELD, MO 658044264
Phone: (417) 761-5000
Fax: (417) 761-5065
Type: Mailing
Arkansas Ave & S Potomac St, 1501, South Potomac Street, Aurora, Arapahoe County, Colorado, 80012, United States
AURORA, CO 800125411
Phone: (636) 484-0632
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-04-15 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Siemens Medical Solutions USA, Inc. | $19 |
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: 2025-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
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 |
|---|---|---|---|---|
| I20090202000380 | I | Psychiatry | IL | TBD |
| I20220425001447 | I | Psychiatry | TN | TBD |
| I20220425001637 | I | Psychiatry | GA | TBD |
| I20221110001044 | I | Psychiatry | MD | TBD |
| I20250602001959 | I | Psychiatry | FL | TBD |
| I20250625003810 | I | Psychiatry | IA | TBD |
| I20251101000015 | I | Psychiatry | NE | TBD |
| I20251107002306 | I | Psychiatry | PA | TBD |
| I20251111000509 | I | Psychiatry | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | IL | |
| Radiation Oncology | IL | |
| - | IL | |
| Mental Health Counselor | IL |
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