SHANNON E BAILEY (APRN-CNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639953714

SHANNON E BAILEY (APRN-CNP, PMHNP-BC) is a healthcare provider. based in Mason, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP, PMHNP-BC. They hold a License No. RN.458168 (OH). The NPI Number for SHANNON E BAILEY (APRN-CNP, PMHNP-BC) is 1639953714

Main info

Female
2 Years Of Experience
Name
SHANNON E BAILEY (APRN-CNP, PMHNP-BC)
NPI
1639953714
Phone
(217) 358-3035
Address
1287 TERRY CT
Enumeration Date
21 August 2023
Last Update Date
5 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8445330315
Graduation Year
2024 (2 years ago)
PAC ID
7214474337
Group Practice PAC ID
3870961162
Professional Enrollment ID
I20240806003558
Address ID
OH450147205FA1251XRDXX307
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for SHANNON E BAILEY (APRN-CNP, PMHNP-BC)

  • 1287 TERRY CT

    MASON, OH 450401128

    Phone: (217) 358-3035

    Type: Mailing

  • 1251 NILLES RD

    FAIRFIELD, OH 450147206

    Phone: (513) 939-0300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $1,178.

Total Amount is formed as General ($1,178) + Research ($0) + Ownership ($0) = $1,178.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,144).

Total Amount

$1,178

General + Research + Ownership

Payments

3

Total payment records

General Amount

$1,178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

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: 2024-08-06

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
I20240806003558INurse PractitionerOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45040)

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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: 3870961162View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
P S Y C H I A T R YOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

Does SHANNON E BAILEY (APRN-CNP, PMHNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SHANNON E BAILEY (APRN-CNP, PMHNP-BC) uses 1639953714.
Does the file indicate SHANNON E BAILEY (APRN-CNP, PMHNP-BC) is practicing under active NPI?
Directory data currently reports SHANNON E BAILEY (APRN-CNP, PMHNP-BC) as active.
What is SHANNON E BAILEY (APRN-CNP, PMHNP-BC) best known for clinically?
Directory data describes SHANNON E BAILEY (APRN-CNP, PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does SHANNON E BAILEY (APRN-CNP, PMHNP-BC) serve?
SHANNON E BAILEY (APRN-CNP, PMHNP-BC)'s listing highlights Mason, Ohio; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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