SHANNON MARIE PACKARD FNP
NPI 1043827769
Nurse Practitioner - Family in Buckeye, AZ

Q: What is Shannon Packard's NPI number?

The NPI number for Shannon Packard is 1043827769. It was assigned to this individual provider in the NPPES registry on September 27, 2020.

Q: What is Shannon Packard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Packard was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 27, 2020PECOS EnrolledAccepts Medicare Assignment

20751 W MARKET ST, BUCKEYE, AZ 85396(623) 463-5000 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 24, 2025, Sep 27, 2020 (2 updates tracked since 2020).

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About Shannon Marie Packard Fnp NPPES

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

SHANNON MARIE PACKARD FNP (NPI 1043827769) is an individual family provider in Buckeye, Arizona, licensed in Arizona (290107) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043827769

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON MARIE PACKARDCredential: FNP

Location Address20751 W MARKET STBuckeye, AZ 85396-7893

Mailing Address20751 W Market StBuckeye, AZ 85396-7893 · (623) 463-5000

Phone(623) 463-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 27, 2020

Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1043827769 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

Licenses✔ Licensed in AZ · 290107✔ Licensed in NY · 346186

20751 W MARKET ST, Buckeye, AZ 85396

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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 Marie Packard Fnp 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 ID6204247802

PECOS Enrollment IDI20231116003094

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 Reassignments

Medicare enrollment records show Shannon Packard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Primary Care Physicians Arizona LLC

17 mi

Clinical Medical Laboratory

13640 N PLAZA DEL RIO BLVD, STE 102
Peoria, AZ 85381

Reassigned Medicare billing, Arizona enrollment
271 clinicians in this Medicare group

NPI 1649544362 (623) 876-3928

General Physician, PC

1,901 mi

General Practice

3898 VINEYARD DR
Dunkirk, NY 14048

Reassigned Medicare billing, New York enrollment
572 clinicians in this Medicare group

NPI 1093959322 (716) 692-3302

Frank R. Laurri, M.D. & Associates, P.C.

1,926 mi

Internal Medicine

10175 NIAGARA FALLS BLVD
Niagara Falls, NY 14304

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Frank R Laurri MD & Associates PC
29 clinicians in this Medicare group

NPI 1548305519 (716) 298-0080

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

102 services82 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

75 services65 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

31 services29 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85396 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 11

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

JUNGWUK HAN MD

Internal Medicine