MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.) – Women's Health Nurse Practitioner, NPI 1164601456

MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.) is a healthcare provider. based in Fishersville, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials R.N.C., W.H.N.P.. They hold a License No. 0024167121 (VA). The NPI Number for MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.) is 1164601456

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.)
NPI
1164601456
Phone
(540) 932-5577
Address
9 S MEDICAL PARK DR
Enumeration Date
2 November 2007
Last Update Date
7 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5405346335
Graduation Year
2005 (21 years ago)
PAC ID
0547423964
Group Practice PAC ID
7618270729
Professional Enrollment ID
I20120523000215
Address ID
VA228015424HA2291XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.)

  • 9 S MEDICAL PARK DR

    FISHERSVILLE, VA 229392333

    Phone: (540) 932-5577

    Type: Location

  • Harrisonburg OBGYN, 2291, Evelyn Byrd Avenue, Harrisonburg, Rockingham County, Virginia, 22801, United States

    HARRISONBURG, VA 228015424

    Phone: (540) 434-3831

    Fax: (540) 437-7451

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $306.

Total Amount is formed as General ($306) + Research ($0) + Ownership ($0) = $306.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Organon LLC ($119).

Total Amount

$306

General + Research + Ownership

Payments

17

Total payment records

General Amount

$306

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

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: 2012-05-23

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
I20120523000215INurse PractitionerVATBD

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 minutes6249$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4141$0
G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous3434$0
99212Established patient office or other outpatient visit, 10-19 minutes2515$0
81003Automated urinalysis test2117$0
View full utilization report →

Insurance plans in this area (ZIP 22939)

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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: 7618270729View full group profile
NameSpecialtyState
General SurgeryVA
Hospitalist, Internal MedicineVA
Vascular Surgery, General SurgeryVA
-VA
General SurgeryVA
Family PracticeVA
-VA
-VA
-OH
General SurgeryVA

Reviews

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Frequently asked questions

What is the standard ID for MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.) in the U.S.?
In the U.S., MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.) is identified by NPI 1164601456.
Is MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.)'s NPI status active today?
Active status means MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.)'s NPI record is not deactivated in the public file.
How should patients interpret MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.)'s specialty?
The extract shows Women's Health Nurse Practitioner for MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.)?
MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.) is associated with Fishersville, Virginia in the same public data insurers reference.
Why is information missing for MR. SHANNON MARSHALL IKENBERRY (R.N.C., W.H.N.P.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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