SHANNON R GROSDIDIER (MD) – Neurology Physician, NPI 1093742660

SHANNON R GROSDIDIER (MD) is a healthcare provider. based in Wenatchee, Washington. specializing in Neurology Physician. They hold the professional credentials MD. They hold a License No. MD00043737 (WA). The NPI Number for SHANNON R GROSDIDIER (MD) is 1093742660

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON R GROSDIDIER (MD)
NPI
1093742660
Phone
Not provided
Address
820 N CHELAN AVE
Enumeration Date
27 June 2006
Last Update Date
13 May 2014

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
5096622208
Graduation Year
2000 (26 years ago)
PAC ID
8527039585
Group Practice PAC ID
4880504596
Professional Enrollment ID
I20040803001285
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

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Provider Addresses for SHANNON R GROSDIDIER (MD)

  • Wenatchee Valley Medical Center, 820, North Chelan Avenue, Wenatchee, Chelan County, Washington, 98801, United States

    WENATCHEE, WA 988012028

    Phone:

    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 1 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: SK Life Science, Inc. ($78).

Total Amount

$78

General + Research + Ownership

Payments

1

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SK Life Science, Inc.$78
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99214Established patient office or other outpatient visit, 30-39 minutes10291$0
99213Established patient office or other outpatient visit, 20-29 minutes9992$0
99204New patient office or other outpatient visit, 45-59 minutes9898$0
64615Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face9244$0
View full utilization report →

Insurance plans in this area (ZIP 98801)

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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: 4880504596View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineWA
Internal MedicineWA
-WA
P S Y C H I A T R YWA
Internal Medicine, NephrologyWI
O B S T E T R I C S/ G Y N E C O L O G YMT
Nurse PractitionerWA
Emergency MedicineWA
U R O L O G YWA
Family PracticeWA

Reviews

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Frequently asked questions

What is SHANNON R GROSDIDIER (MD)'s NPI number?
SHANNON R GROSDIDIER (MD)'s NPI is 1093742660 — the number used across U.S. healthcare to identify this provider.
Is SHANNON R GROSDIDIER (MD) still an active registrant?
SHANNON R GROSDIDIER (MD) carries an active NPI according to the public dataset.
What expertise is attributed to SHANNON R GROSDIDIER (MD)?
SHANNON R GROSDIDIER (MD)'s specialty line reads Neurology Physician. Clinical services aligned with this taxonomy classification.
Is SHANNON R GROSDIDIER (MD) located near Wenatchee?
SHANNON R GROSDIDIER (MD) currently maps to Wenatchee, Washington in this extract.
When was this NPI issued?
Enumeration for SHANNON R GROSDIDIER (MD) is noted as June 27, 2006 where the registry provides it.

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