SHANNON RENAE SOMERS – Nurse Practitioner, NPI 1205557303

SHANNON RENAE SOMERS is a healthcare provider. based in Ponca city, Oklahoma. specializing in Nurse Practitioner. They hold a License No. R0128161 (OK). The NPI Number for SHANNON RENAE SOMERS is 1205557303

Main info

Female
Sole Proprietor
Name
SHANNON RENAE SOMERS
NPI
1205557303
Phone
Not provided
Address
104 S 4TH ST
Enumeration Date
7 September 2022
Last Update Date
31 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

Provider Addresses for SHANNON RENAE SOMERS

  • 104 S 4TH ST

    PONCA CITY, OK 746015329

    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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-01-08 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-08

Latest reported date

Top Companies

Largest payers in this snapshot

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74601)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for SHANNON RENAE SOMERS?
SHANNON RENAE SOMERS — NPI 1205557303 — is the standard way to identify this listing.
Can I rely on SHANNON RENAE SOMERS being an active provider?
As of the registry snapshot, SHANNON RENAE SOMERS is marked active.
What is SHANNON RENAE SOMERS's primary classification?
Nurse Practitioner is the headline specialty for SHANNON RENAE SOMERS here. Clinical services aligned with this taxonomy classification.
Does SHANNON RENAE SOMERS list a practice location?
Patients near Ponca City, Oklahoma may find SHANNON RENAE SOMERS in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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