SHANNON SULLIVAN-EVANS (FNP-BC) – Family Nurse Practitioner, NPI 1336596121

SHANNON SULLIVAN-EVANS (FNP-BC) is a healthcare provider. based in Englewood, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. RN96411 (TN). The NPI Number for SHANNON SULLIVAN-EVANS (FNP-BC) is 1336596121

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON SULLIVAN-EVANS (FNP-BC)
NPI
1336596121
Phone
(423) 887-5131
Address
3360 HIGHWAY 411 N
Enumeration Date
21 May 2016
Last Update Date
20 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8652716600
Graduation Year
2015 (11 years ago)
PAC ID
6608162318
Group Practice PAC ID
2860305463
Professional Enrollment ID
I20160907000509
Address ID
TN377725641LE423XXDRXX401

Contacts

Secure Messaging
sullivan-evans.shannon@covenanthealth.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

10,728 NURSE PRACTITIONER in TN

Provider Addresses for SHANNON SULLIVAN-EVANS (FNP-BC)

  • 3360 HIGHWAY 411 N

    ENGLEWOOD, TN 373295276

    Phone: (423) 887-5131

    Fax: (423) 887-5917

    Type: Location

  • 423 MEDICAL PARK DR STE 100

    LENOIR CITY, TN 377725641

    Phone: (865) 271-6600

    Fax: (865) 374-2102

    Type: Mailing

  • 6350, West Andrew Johnson Highway, May Acres, Morristown, Hamblen County, Tennessee, 37877, United States

    DEPARTMENT 100

    TALBOTT, TN 378778605

    Phone: (800) 355-3565

    Fax: (423) 714-2355

    Type: Mailing

  • 4726 ALCOA HWY

    LOUISVILLE, TN 377775402

    Phone: (865) 518-4589

    Fax: (865) 681-2266

    Type: Mailing

  • 1214 TOPSIDE RD

    LOUISVILLE, TN 377775505

    Phone: (865) 970-7747

    Fax: (865) 681-2222

    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: 2016-09-07

PECOS data refreshed: 2026-06-15

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
I20160907000509INurse PractitionerTNTBD

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 minutes281213$0
J1100Injection, dexamethasone sodium phosphate, 1 mg17239$0
96372Injection of drug or substance under skin or into muscle8646$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen6966$0
99214Established patient office or other outpatient visit, 30-39 minutes6758$0
View full utilization report →

Insurance plans in this area (ZIP 37329)

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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: 2860305463View full group profile
NameSpecialtyState
Internal MedicineTN
Nurse PractitionerTN
Internal MedicineTN
Nurse PractitionerTN
Family PracticeTN
Orthopedic SurgeryTX
Family PracticeTN
Family PracticeTN
-TN
Physician AssistantTN

Reviews

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Frequently asked questions

How do payers reference SHANNON SULLIVAN-EVANS (FNP-BC)?
For SHANNON SULLIVAN-EVANS (FNP-BC), use NPI 1336596121 as the unique 10-digit identifier.
Active or inactive — what applies to SHANNON SULLIVAN-EVANS (FNP-BC)?
You should see SHANNON SULLIVAN-EVANS (FNP-BC) as active in CMS-hosted NPPES data.
How would a patient describe SHANNON SULLIVAN-EVANS (FNP-BC)'s focus?
For SHANNON SULLIVAN-EVANS (FNP-BC), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Tennessee is SHANNON SULLIVAN-EVANS (FNP-BC) registered?
Use Englewood, Tennessee as the headline location for SHANNON SULLIVAN-EVANS (FNP-BC) here.
Does SHANNON SULLIVAN-EVANS (FNP-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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