SHANNON BRENNAN (NP) – Family Nurse Practitioner, NPI 1962869552

SHANNON BRENNAN (NP) is a healthcare provider. based in South ogden, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 283634-4405 (UT). The NPI Number for SHANNON BRENNAN (NP) is 1962869552

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON BRENNAN (NP)
NPI
1962869552
Phone
(801) 337-5800
Address
1525 E 6000 S
Enumeration Date
27 January 2016
Last Update Date
27 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013375800
Graduation Year
2015 (11 years ago)
PAC ID
8729384870
Group Practice PAC ID
5193703544
Professional Enrollment ID
I20160315002914
Address ID
UT844057149OG1525X6000301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for SHANNON BRENNAN (NP)

  • 1525, East 6000 South, South Ogden, Weber County, Utah, 84405, United States

    SOUTH OGDEN, UT 844057144

    Phone: (801) 337-5800

    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)

CMS reports 23 Open Payments records for all available years, with a total value of $443.

Total Amount is formed as General ($443) + Research ($0) + Ownership ($0) = $443.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($140).

Total Amount

$443

General + Research + Ownership

Payments

23

Total payment records

General Amount

$443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2016-03-15

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
I20160315002914INurse PractitionerUTTBD

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 minutes2919$0
99214Established patient office or other outpatient visit, 30-39 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 84405)

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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: 5193703544View full group profile
NameSpecialtyState
-UT
Nurse PractitionerUT
O B S T E T R I C S/ G Y N E C O L O G YUT
O B S T E T R I C S/ G Y N E C O L O G YUT
-UT
O B S T E T R I C S/ G Y N E C O L O G YUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Certified Nurse Midwife (Cnm)UT
O B S T E T R I C S/ G Y N E C O L O G YUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What NPI should I save for SHANNON BRENNAN (NP)?
Save NPI 1962869552 if you need a stable reference for SHANNON BRENNAN (NP).
Does this profile mean SHANNON BRENNAN (NP) is currently active?
Yes — SHANNON BRENNAN (NP) appears active in the national provider directory.
Can you summarize SHANNON BRENNAN (NP)'s specialty in plain language?
Clinically, the directory lists SHANNON BRENNAN (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place SHANNON BRENNAN (NP)?
The snapshot lists South Ogden, Utah for SHANNON BRENNAN (NP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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