DR. SHANNON R STAKER MD
NPI 1023078045
Pediatrics in Roosevelt, UT
About Dr. Shannon R Staker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON R STAKER MD (NPI 1023078045) is an individual pediatrics provider in Roosevelt, Utah, licensed in Utah (49110641205) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shannon R Staker Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shannon Staker's NPI number?
The NPI number for Shannon Staker is 1023078045. It was assigned to this individual provider in the NPPES registry on March 24, 2006.
Where is Shannon Staker located?
Shannon Staker practices at 210 W 300 N 75-3, Roosevelt, UT 84066. The listed phone number is (435) 722-3971.
What is Shannon Staker's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shannon Staker enrolled in Medicare?
Yes. Shannon Staker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Shannon Staker accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Shannon Staker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shannon Staker was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
