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SHANNON BLACK FNP-BC
NPI 1043013394
Nurse Practitioner - Family in Marshall, AR

Active since March 31, 2025PECOS EnrolledAccepts Medicare Assignment
942 HIGHWAY 65 N, MARSHALL, AR 72650(888) 518-1418(501) 468-0468 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, May 6, 2025, Mar 31, 2025 (3 updates tracked since 2025).

About Shannon Black Fnp-bc NPPES

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

SHANNON BLACK FNP-BC (NPI 1043013394) is an individual family provider in Marshall, Arkansas, licensed in Arkansas (233849) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043013394
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON BLACKCredential: FNP-BC
Location Address942 HIGHWAY 65 NMarshall, AR 72650-7772
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002
Phone(888) 518-1418
Fax(501) 468-0468
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 31, 2025
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1043013394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · 233849
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2025004733 (MO)
942 HIGHWAY 65 N, Marshall, AR 72650
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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

Shannon Black Fnp-bc 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 ID2062926710
PECOS Enrollment IDI20250707001987
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72650 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.

Other Providers at the Same Location NPPES 4

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

MRS. LACEY CAWTHRON ARNP, FNP-BC
Nurse Practitioner
942 HIGHWAY 65 N
MARSHALL, AR 72650
Searcy County (888) 518-1418
SEARCY SNF OPERATIONS LLC
Skilled Nursing Facility
942 HIGHWAY 65 N
MARSHALL, AR 72650
Searcy County (870) 448-3577
ELI NOAH JACKSON PA-C
Physician Assistant (Medical)
942 HIGHWAY 65 N
MARSHALL, AR 72650
Searcy County (888) 518-1418
ACCESS MEDICAL CLINIC ARKANSAS LTC LLC
Clinic/Center (Rural Health)
942 HIGHWAY 65 N
MARSHALL, AR 72650
Searcy County (888) 518-1418

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 Black's NPI number?

The NPI number for Shannon Black is 1043013394. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Shannon Black located?

Shannon Black practices at 942 Highway 65 N, Marshall, AR 72650. The listed phone number is (888) 518-1418.

What is Shannon Black's specialty?

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

Is Shannon Black enrolled in Medicare?

Yes. Shannon Black 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.

When was this NPI record last updated?

The NPPES record for Shannon Black was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.