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SHANNON MICHELLE AMARA-BANGALI
NPI 1023977592
Nurse Practitioner - Family in Little Rock, AR

Active since January 20, 2026PECOS EnrolledAccepts Medicare Assignment
4110 OUTPATIENT CIRCLE SUITE 3160, THIRD FLOOR, LITTLE ROCK, AR 72205(501) 603-1900(501) 686-6342 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 26, 2026, Jan 20, 2026 (2 updates tracked since 2026).

About Shannon Michelle Amara-bangali NPPES

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

SHANNON MICHELLE AMARA-BANGALI (NPI 1023977592) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (236213) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023977592
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON MICHELLE AMARA-BANGALI
Location Address4110 OUTPATIENT CIRCLE SUITE 3160, THIRD FLOORLittle Rock, AR 72205
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7199 · (501) 686-8000 · Fax (501) 526-5148
Phone(501) 603-1900
Fax(501) 686-6342
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 20, 2026
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1023977592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · 236213
4110 OUTPATIENT CIRCLE SUITE 3160, Little Rock, AR 72205
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Michelle Amara-bangali 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 ID8123506763
PECOS Enrollment IDI20260204000294
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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Amara-bangali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Arkansas For Medical Sciences
Same address
Internal Medicine
4110 OUTPATIENT CIRCLE
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1669534749 (501) 686-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Amara-bangali's NPI number?

The NPI number for Shannon Amara-bangali is 1023977592. It was assigned to this individual provider in the NPPES registry on January 20, 2026.

Where is Shannon Amara-bangali located?

Shannon Amara-bangali practices at 4110 Outpatient Circle Suite 3160 Third Floor, Little Rock, AR 72205. The listed phone number is (501) 603-1900.

What is Shannon Amara-bangali's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Amara-bangali enrolled in Medicare?

Yes. Shannon Amara-bangali 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.

Which organization bills Medicare for Shannon Amara-bangali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Amara-bangali reassigns Medicare benefits to University Of Arkansas For Medical Sciences (Little Rock, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Amara-bangali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Amara-bangali was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.