MR. ERICK ALLEN SHANNON FNP-C
NPI 1043190655
Nurse Practitioner in Carbondale, IL

Q: What is Erick Shannon's NPI number?

The NPI number for Erick Shannon is 1043190655. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Q: What is Erick Shannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Erick Shannon was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 04, 2025PECOS EnrolledAccepts Medicare Assignment

405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721(618) 457-0469 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Dec 29, 2025, Sep 11, 2025 and 1 more (4 updates tracked since 2025).

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About Mr. Erick Allen Shannon Fnp-c NPPES

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

MR. ERICK ALLEN SHANNON FNP-C (NPI 1043190655) is an individual nurse practitioner in Carbondale, Illinois, licensed in Illinois (209034228) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1043190655

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. ERICK ALLEN SHANNONCredential: FNP-C

Location Address405 W JACKSON STCarbondale, IL 62901-1467

Mailing Address405 W Jackson StCarbondale, IL 62901-1462 · (618) 549-0721 · Fax (618) 457-0469

Phone(618) 549-0721

Fax(618) 457-0469

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 4, 2025

Last NPPES UpdateMarch 6, 20264 updates tracked since enumeration

NPPES CertifiedMarch 6, 2026

✔ NPI 1043190655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209034228

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

405 W JACKSON ST, Carbondale, IL 62901

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Secondary Practice Locations 3

Location 12 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 ext. 55620 · Fax (618) 529-0524

Location 2100 Dr Warren Tuttle DrHarrisburg, IL 62946-2718 · Phone (618) 253-0350 · Fax (618) 252-2425

Location 3201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 ext. 35130 · Fax (618) 351-4917

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

Mr. Erick Allen Shannon Fnp-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 ID547759128

PECOS Enrollment IDI20260220001436

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.

Hospital Affiliations CMS Care Compare 2

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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 $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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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.

MR. LUKAS WARD PA

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

RUPAL PARMAR M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

SCOTT A. COOPER M.D.

Emergency Medicine

405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901

Jackson County (618) 549-0721

LONG HA HUYNH M.D., PH.D.

Anesthesiology

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MS. BRITNEY NICOLE ARNOLD PA-C

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MR. DAN EDWARD MILLER CRNA

Nurse Anesthetist, Certified Registered

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

AMANDA M RYDEN MD

Emergency Medicine

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MS. NICOLE A JOHNSON PA-C

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

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 Erick Shannon's NPI number?

The NPI number for Erick Shannon is 1043190655. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Where is Erick Shannon located?

Erick Shannon practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Erick Shannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Erick Shannon enrolled in Medicare?

Yes. Erick Shannon 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.

Is Erick Shannon affiliated with any hospitals?

According to CMS data, Erick Shannon is affiliated with Herrin Hospital and Memorial Hospital Of Carbondale.

When was this NPI record last updated?

The NPPES record for Erick Shannon was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.