SHANNON BEAL (M.D.) – Vascular Surgery Physician, NPI 1942281712

SHANNON BEAL (M.D.) is a healthcare provider. based in Carson city, Nevada. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. A97355 (CA). The NPI Number for SHANNON BEAL (M.D.) is 1942281712

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON BEAL (M.D.)
NPI
1942281712
Phone
(775) 882-2067
Address
1375 VISTA LN
Enumeration Date
9 November 2005
Last Update Date
16 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
7753237500
Graduation Year
2001 (25 years ago)
PAC ID
8628211265
Group Practice PAC ID
1759369101
Professional Enrollment ID
I20150307000225
Address ID
NV895021475RE75XXXWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

57 VASCULAR SURGERY in NV

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Provider Addresses for SHANNON BEAL (M.D.)

  • Vista Lane, Carson City, Nevada, 89703, United States

    CARSON CITY, NV 897034643

    Phone: (775) 882-2067

    Fax: (775) 882-2254

    Type: Mailing

  • 3000 Q St

    Sacramento, CA 958167058

    Phone: (916) 733-3314

    Fax: (916) 733-3426

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $712.

Total Amount is formed as General ($712) + Research ($0) + Ownership ($0) = $712.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($583).

Total Amount

$712

General + Research + Ownership

Payments

15

Total payment records

General Amount

$712

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

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: 2015-03-07

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
I20150307000225IVascular SurgeryNVTBD

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 minutes276214$0
99213Established patient office or other outpatient visit, 20-29 minutes170143$0
93922Ultrasound study of arm and leg arteries158130$0
93880Ultrasound of both sides of head and neck blood flow153138$0
99204New patient office or other outpatient visit, 45-59 minutes107107$0
View full utilization report →

Insurance plans in this area (ZIP 89703)

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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: 1759369101View full group profile
NameSpecialtyState
General SurgeryNV
-NV
-NV
Nurse PractitionerNV
General SurgeryCA
General SurgeryNV
General SurgeryNV
General SurgeryFL
Physician AssistantNV
Thoracic Surgery, General SurgeryNV

Reviews

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Frequently asked questions

What is the standard ID for SHANNON BEAL (M.D.) in the U.S.?
In the U.S., SHANNON BEAL (M.D.) is identified by NPI 1942281712.
Should I treat SHANNON BEAL (M.D.) as an active provider?
Patients and plans typically see SHANNON BEAL (M.D.) as active in the national extract.
Which specialty label fits SHANNON BEAL (M.D.)?
NPPES ties SHANNON BEAL (M.D.) to Vascular Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHANNON BEAL (M.D.)?
SHANNON BEAL (M.D.) is associated with Carson City, Nevada in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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