SHANNON ROGERS (PMHNP, APRN-CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1134961345

SHANNON ROGERS (PMHNP, APRN-CNP) is a healthcare provider. based in Durant, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP, APRN-CNP. They hold a License No. 220796 (OK). The NPI Number for SHANNON ROGERS (PMHNP, APRN-CNP) is 1134961345

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON ROGERS (PMHNP, APRN-CNP)
NPI
1134961345
Phone
(580) 920-2069
Address
1312 N 1ST AVE
Enumeration Date
10 June 2024
Last Update Date
19 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5809202069
Graduation Year
2024 (2 years ago)
PAC ID
5395275283
Group Practice PAC ID
5395929384
Professional Enrollment ID
I20250214003246
Address ID
OK747012810DU1312XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for SHANNON ROGERS (PMHNP, APRN-CNP)

  • 1312 N 1ST AVE

    DURANT, OK 747012810

    Phone: (580) 920-2069

    Mailing address matches the actual address.

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: 2025-02-14

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
I20250214003246INurse PractitionerOKTBD

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 74701)

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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: 5395929384View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorAR
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

How do I look up SHANNON ROGERS (PMHNP, APRN-CNP) by NPI?
Use NPI 1134961345 when you need to reference SHANNON ROGERS (PMHNP, APRN-CNP) in forms, claims, or directories.
Does this profile mean SHANNON ROGERS (PMHNP, APRN-CNP) is currently active?
Yes — SHANNON ROGERS (PMHNP, APRN-CNP) appears active in the national provider directory.
What field does SHANNON ROGERS (PMHNP, APRN-CNP) work in?
You can think of SHANNON ROGERS (PMHNP, APRN-CNP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SHANNON ROGERS (PMHNP, APRN-CNP)'s primary listing?
We display Durant, Oklahoma because that is what the record indicates for SHANNON ROGERS (PMHNP, APRN-CNP).
How can I contact SHANNON ROGERS (PMHNP, APRN-CNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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