SHANNON L KUNTZ – Nurse Practitioner, NPI 1154717817

SHANNON L KUNTZ is a healthcare provider. based in Lincoln, Nebraska. specializing in Nurse Practitioner. They hold a License No. 48629 (NE). The NPI Number for SHANNON L KUNTZ is 1154717817

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON L KUNTZ
NPI
1154717817
Phone
(402) 475-1011
Address
2300 S 16TH ST
Enumeration Date
9 April 2015
Last Update Date
9 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024751011
Graduation Year
2015 (11 years ago)
PAC ID
5799099123
Group Practice PAC ID
2365334364
Professional Enrollment ID
I20150729010031
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for SHANNON L KUNTZ

  • 2300 S 16TH ST

    LINCOLN, NE 685023704

    Phone: (402) 475-1011

    Fax: (402) 481-4783

    Type: Location

  • 3200 PINE LAKE RD

    SUITE A

    LINCOLN, NE 685166035

    Phone: (402) 421-1811

    Fax: (402) 421-1833

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $169.

Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.

Last reported payment date: 2023-12-18 • Largest payer in this snapshot: Tactile Systems Technology Inc ($81).

Total Amount

$169

General + Research + Ownership

Payments

6

Total payment records

General Amount

$169

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-18

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: 2015-07-29

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
I20150729010031INurse PractitionerNETBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2620$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1915$0
View full utilization report →

Insurance plans in this area (ZIP 68502)

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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: 2365334364View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
H O S P I T A L I S TNE
Nurse PractitionerNE
Hospitalist, Internal MedicineNE
Physician AssistantNE
H O S P I T A L I S TNE
Nurse PractitionerNE
Nurse PractitionerNE
Physician AssistantNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

What is the 10-digit NPI for SHANNON L KUNTZ?
SHANNON L KUNTZ — NPI 1154717817 — is the standard way to identify this listing.
Is SHANNON L KUNTZ still practicing?
SHANNON L KUNTZ is currently listed as active in the public NPI registry.
What taxonomy line describes SHANNON L KUNTZ?
For research purposes, treat SHANNON L KUNTZ as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does SHANNON L KUNTZ list a practice location?
Patients near Lincoln, Nebraska may find SHANNON L KUNTZ in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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