SHANNON LYNN GIDEON (FNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1457708257

SHANNON LYNN GIDEON (FNP-C) is a healthcare provider. based in Fort sill, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 740850 (TX). The NPI Number for SHANNON LYNN GIDEON (FNP-C) is 1457708257

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON LYNN GIDEON (FNP-C)
NPI
1457708257
Phone
(580) 558-8453
Address
4301 Wilson St
Enumeration Date
21 May 2016
Last Update Date
7 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5806342931
Graduation Year
2016 (10 years ago)
PAC ID
8123310968
Group Practice PAC ID
3375832157
Professional Enrollment ID
I20190618001520
Address ID
OK747015070DU901XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for SHANNON LYNN GIDEON (FNP-C)

  • 4301 Wilson St

    Fort Sill, OK 735034472

    Phone: (580) 558-8453

    Type: Location

  • 4001 Ridgecrest Rd Ste B

    Greenville, TX 754026143

    Phone: (903) 453-2870

    Fax: (903) 453-2879

    Type: Location

  • 4301 WILSON ST

    FORT SILL, OK 735034472

    Phone: (580) 558-8453

    Type: Location

  • 501 AIR PARK AVE

    GREENVILLE, TX 754023000

    Phone: (903) 408-5834

    Fax: (903) 408-5693

    Type: Mailing

  • 2088 N Hwy 81

    Duncan, OK 735331416

    Phone: (580) 606-6201

    Type: Location

  • Hunt Regional Medical Center, 4215, Joe Ramsey Boulevard East, Greenville, Hunt County, Texas, 75401, United States

    GREENVILLE, TX 754017852

    Phone: (903) 408-5000

    Type: Mailing

  • 3206 INTERSTATE HIGHWAY 30 STE B

    GREENVILLE, TX 754027002

    Phone: (903) 408-7979

    Fax: (903) 454-8751

    Type: Location

  • 1602 SW 82ND ST

    LAWTON, OK 735059012

    Phone: (580) 536-0077

    Type: Mailing

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: 2019-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180727000320INurse PractitionerTXTBD
I20190618001520INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4520$0
View full utilization report →

Insurance plans in this area (ZIP 73503)

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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: 3375832157View full group profile
NameSpecialtyState
Physician AssistantKS
Nurse PractitionerOK
Clinical Social WorkerOK
Physician AssistantOK
Nurse PractitionerMO
Nurse PractitionerWA
Nurse PractitionerOK
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
Hospitalist, Internal Medicine, Internal MedicineTX

Reviews

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Frequently asked questions

Can I verify SHANNON LYNN GIDEON (FNP-C) with an NPI only?
You can start verification with NPI 1457708257 for SHANNON LYNN GIDEON (FNP-C), then check state licensing separately.
Can I rely on SHANNON LYNN GIDEON (FNP-C) being an active provider?
As of the registry snapshot, SHANNON LYNN GIDEON (FNP-C) is marked active.
What is SHANNON LYNN GIDEON (FNP-C)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for SHANNON LYNN GIDEON (FNP-C) here. Clinical services aligned with this taxonomy classification.
What area does SHANNON LYNN GIDEON (FNP-C) serve?
SHANNON LYNN GIDEON (FNP-C)'s listing highlights Fort Sill, Oklahoma; more addresses can appear in NPPES.
Why does SHANNON LYNN GIDEON (FNP-C) have multiple addresses?
11 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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