SHANNON D GARDNER (FNP) – Adult Health Nurse Practitioner, NPI 1255748935

SHANNON D GARDNER (FNP) is a healthcare provider. based in Nickelsville, Virginia. specializing in Adult Health Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 18652 (TN). The NPI Number for SHANNON D GARDNER (FNP) is 1255748935

Main info

Female
Name
SHANNON D GARDNER (FNP)
NPI
1255748935
Phone
(276) 479-2201
Address
142 Meade Ave
Enumeration Date
15 July 2014
Last Update Date
20 October 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:11State licenses:3Digital endpointsOther names

Provider Addresses for SHANNON D GARDNER (FNP)

  • 142 Meade Ave

    Nickelsville, VA 242712108

    Phone: (276) 479-2201

    Fax: (423) 239-7707

    Type: Location

  • 280 FRANK B. SMITH DRIVE

    WEBER CITY, VA 24290

    Phone: (276) 409-0005

    Fax: (276) 690-2678

    Type: Mailing

  • 841 CENTRAL ST STE 101

    FRANKLIN, NH 032352053

    Phone: (603) 934-1464

    Type: Location

  • 142 MEADE AVE

    NICKELSVILLE, VA 242712108

    Phone: (276) 479-2201

    Fax: (423) 239-7707

    Type: Location

  • PO BOX 3889

    JOHNSON CITY, TN 376023889

    Phone: (423) 794-2457

    Fax: (423) 283-9480

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($37).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

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: 2022-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20141020002035INurse PractitionerTNTBD
I20220628000121INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes7153$0
36415Insertion of needle into vein for collection of blood sample4739$0
80053Blood test, comprehensive group of blood chemicals3532$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count3330$0
99213Established patient office or other outpatient visit, 20-29 minutes3328$0
View full utilization report →

Insurance plans in this area (ZIP 24271)

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Reviews

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Frequently asked questions

What is the standard ID for SHANNON D GARDNER (FNP) in the U.S.?
In the U.S., SHANNON D GARDNER (FNP) is identified by NPI 1255748935.
Does the public listing show SHANNON D GARDNER (FNP) as active?
SHANNON D GARDNER (FNP)'s NPI record reflects an active status in NPPES.
What services align with SHANNON D GARDNER (FNP)'s listing?
SHANNON D GARDNER (FNP)'s public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit SHANNON D GARDNER (FNP) in Nickelsville, Virginia?
For routing, start with Nickelsville, Virginia for SHANNON D GARDNER (FNP), then verify phone and hours locally.
Can I export SHANNON D GARDNER (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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