DJANINN MAE SHANNON MCKIBBEN PA-C
NPI 1023422805
Physician Assistant in Bismarck, ND

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment
222 N 7TH ST, BISMARCK, ND 58501(701) 323-6000 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2023, Mar 17, 2018, Oct 23, 2017 and 1 more (4 updates tracked since 2017).

About Djaninn Mae Shannon Mckibben Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DJANINN MAE SHANNON MCKIBBEN PA-C (NPI 1023422805) is an individual physician assistant in Bismarck, North Dakota, licensed in North Dakota (PAC0687) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1023422805
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDJANINN MAE SHANNON MCKIBBENCredential: PA-C
Location Address222 N 7TH STBismarck, ND 58501-4436
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 19, 2014
Last NPPES UpdateFebruary 22, 20234 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
NPI 1023422805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ND · PAC0687 Licensed in MN · 11613
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

222 N 7TH ST, Bismarck, ND 58501

Other Names 1

Former Name (1)Djaninn Mae Shannon

Secondary Practice Locations 4

Location 13500 21st St SEMandan, ND 58554-1341 · Phone (701) 323-6000
Location 21021 N 26th StBismarck, ND 58501-3109 · Phone (701) 323-6000
Location 31011 Boundary St NWMandan, ND 58554-1608 · Phone (701) 323-6000
Location 4301 Lorrain DrBismarck, ND 58503-0311 · Phone (701) 323-6000

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

Djaninn Mae Shannon Mckibben Pa-c 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.

PECOS PAC ID2365750114
PECOS Enrollment IDI20170726003223
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
239 services74 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
124 services68 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
33 services33 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
222 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner (Family)
222 N 7TH ST
BISMARCK, ND 58501
Family Medicine
222 N 7TH ST
BISMARCK, ND 58501
Hospitalist
222 N 7TH ST
BISMARCK, ND 58501
Anesthesiology
222 N 7TH ST
BISMARCK, ND 58501
Thoracic Surgery (Cardiothoracic Vascular Surgery)
222 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner
222 N 7TH ST
BISMARCK, ND 58501
Pathology (Anatomic Pathology & Clinical Pathology)
222 N 7TH ST
BISMARCK, ND 58501

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 Djaninn Mae Mckibben's NPI number?

The NPI number for Djaninn Mae Mckibben is 1023422805. It was assigned to this individual provider in the NPPES registry on June 19, 2014. The provider is also known as Djaninn Mae Shannon.

Where is Djaninn Mae Mckibben located?

Djaninn Mae Mckibben practices at 222 N 7th St, Bismarck, ND 58501. The listed phone number is (701) 323-6000.

What is Djaninn Mae Mckibben's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Djaninn Mae Mckibben enrolled in Medicare?

Yes. Djaninn Mae Mckibben 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 Djaninn Mae Mckibben accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Djaninn Mae Mckibben 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.

Is Djaninn Mae Mckibben affiliated with any hospitals?

According to CMS data, Djaninn Mae Mckibben is affiliated with Sanford Medical Center Bismarck.

When was this NPI record last updated?

The NPPES record for Djaninn Mae Mckibben was last updated on February 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.