MS. SHANNON RAE MICHEEL (FNP) – Family Nurse Practitioner, NPI 1477659472

MS. SHANNON RAE MICHEEL (FNP) is a healthcare provider. based in Eugene, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 200450100NP (OR). The NPI Number for MS. SHANNON RAE MICHEEL (FNP) is 1477659472

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHANNON RAE MICHEEL (FNP)
NPI
1477659472
Phone
(541) 510-7473
Address
952 POLK ST
Enumeration Date
16 September 2006
Last Update Date
12 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412283019
Graduation Year
2004 (22 years ago)
PAC ID
4385689751
Group Practice PAC ID
5496667578
Professional Enrollment ID
I20050627000172
Address ID
OR974087619EU2650XWAYX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for MS. SHANNON RAE MICHEEL (FNP)

  • 952, Polk Street, Whiteaker, Eugene, Lane County, Oregon, 97405, United States

    EUGENE, OR 974024538

    Phone: (541) 510-7473

    Type: Mailing

  • 2073, Olympic Street, Olympic Hills, Springfield, Clark County, Ohio, 45503, United States

    SPRINGFIELD, OR 974773413

    Phone: (541) 682-3550

    Fax: (541) 682-3551

    Type: Location

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: 2005-06-27

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
I20050627000172INurse PractitionerORTBD

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 97402)

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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: 5496667578View full group profile
NameSpecialtyState
Mental Health CounselorOR
Occupational Therapist In Private PracticeVA
Mental Health CounselorOR
Physical Therapist In Private PracticeOR
Registered Dietitian Or Nutrition ProfessionalOR
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Mental Health CounselorOR
Registered Dietitian Or Nutrition ProfessionalOR

Reviews

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Frequently asked questions

What is the registry number for MS. SHANNON RAE MICHEEL (FNP)?
The registry entry for MS. SHANNON RAE MICHEEL (FNP) shows NPI 1477659472.
Is MS. SHANNON RAE MICHEEL (FNP) currently accepting referrals based on NPI status?
Registry metadata lists MS. SHANNON RAE MICHEEL (FNP) as active.
What does the directory say MS. SHANNON RAE MICHEEL (FNP) does?
Insurance directories may phrase it differently, but here MS. SHANNON RAE MICHEEL (FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MS. SHANNON RAE MICHEEL (FNP)?
The directory associates MS. SHANNON RAE MICHEEL (FNP) with Eugene, Oregon. Check all listed addresses for suites or satellite offices.
Why is information missing for MS. SHANNON RAE MICHEEL (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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