SHANNON NICOLE MARSDEN MD
NPI 1053792259
Family Medicine in West Plains, MO

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1307 PORTER WAGONER BLVD, WEST PLAINS, MO 65775(417) 255-8645 Get Directions Write a Review

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

Record update history: May 26, 2025, Nov 17, 2022, Dec 27, 2018 (3 updates tracked since 2018).

About Shannon Nicole Marsden Md NPPES

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

SHANNON NICOLE MARSDEN MD (NPI 1053792259) is an individual family medicine provider in West Plains, Missouri, licensed in Missouri (2015016244) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Ozarks Healthcare, and maintains a secondary practice location in West Plains.

NPPES Registry Identity

NPI1053792259
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHANNON NICOLE MARSDENCredential: MD
Location Address1307 PORTER WAGONER BLVDWest Plains, MO 65775-1828
Mailing Address1423 N Jefferson Ave Ste B100Springfield, MO 65802-1917 · (417) 269-8817 · Fax (417) 269-8744
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 12, 2015
Last NPPES UpdateMay 26, 20253 updates tracked since enumeration
NPPES CertifiedMay 26, 2025
NPI 1053792259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 2015016244
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1307 PORTER WAGONER BLVD, West Plains, MO 65775

Secondary Practice Location 1

Location 1180 S Kentucky AveWest Plains, MO 65775-2082 · Phone (417) 256-7078

Other Identifiers 1

Medicaid200050408MO

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 Nicole Marsden Md 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 ID5496002990
PECOS Enrollment IDI20180714000100
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.

Areas of Expertise CMS Part B claims 6

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.
160 services109 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
110 services69 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.
105 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
28 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65775 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Nurse Practitioner (Family)
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Nurse Practitioner (Family)
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775

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 Marsden's NPI number?

The NPI number for Shannon Marsden is 1053792259. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Shannon Marsden located?

Shannon Marsden practices at 1307 Porter Wagoner Blvd, West Plains, MO 65775. The listed phone number is (417) 255-8645.

What is Shannon Marsden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shannon Marsden enrolled in Medicare?

Yes. Shannon Marsden 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 Marsden accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Shannon Marsden 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.

Is Shannon Marsden affiliated with any hospitals?

According to CMS data, Shannon Marsden is affiliated with Ozarks Healthcare.

When was this NPI record last updated?

The NPPES record for Shannon Marsden was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.