SHANNON M ANDERSON
NPI 1053043398
Social Worker - Clinical in Green Bay, WI

Active since June 27, 2022PECOS EnrolledAccepts Medicare Assignment
1499 6TH ST, GREEN BAY, WI 54304(920) 497-6161(888) 974-5769 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon M Anderson NPPES

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

SHANNON M ANDERSON (NPI 1053043398) is an individual clinical provider in Green Bay, Wisconsin and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053043398
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON M ANDERSON
Location Address1499 6TH STGreen Bay, WI 54304-2252
Mailing Address1499 6th StGreen Bay, WI 54304-2252 · (920) 497-6161 · Fax (888) 974-5769
Fax(888) 974-5769
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 27, 2022
NPPES CertifiedJune 27, 2022
NPI 1053043398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1499 6TH ST, Green Bay, WI 54304

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

Shannon M Anderson 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 ID1951822519
PECOS Enrollment IDI20250311003830
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 54304 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
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Community/Behavioral Health
1499 6TH ST, INNOVATIVE COUNSELING INC
GREEN BAY, WI 54304
Counselor (Mental Health)
1499 6TH ST
GREEN BAY, WI 54304
Social Worker
1499 6TH ST
GREEN BAY, WI 54304
Counselor
1499 6TH ST
GREEN BAY, WI 54304
Counselor
1499 6TH ST
GREEN BAY, WI 54304
Social Worker (Clinical)
1499 6TH ST
GREEN BAY, WI 54304
Counselor (Mental Health)
1499 6TH ST
GREEN BAY, WI 54304
Social Worker
1499 6TH ST
GREEN BAY, WI 54304

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 Anderson's NPI number?

The NPI number for Shannon Anderson is 1053043398. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Shannon Anderson located?

Shannon Anderson practices at 1499 6th St, Green Bay, WI 54304. The listed phone number is (920) 497-6161.

What is Shannon Anderson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shannon Anderson enrolled in Medicare?

Yes. Shannon Anderson 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 Shannon Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Network Health and UnitedHealthcare list Shannon Anderson 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.

When was this NPI record last updated?

The NPPES record for Shannon Anderson was last updated on June 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.