SHANE LOUIS PENNISON APRN, FNP-C
NPI 1063142412
Nurse Practitioner in Winnfield, LA

Q: What is Shane Pennison's NPI number?

The NPI number for Shane Pennison is 1063142412. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Q: What is Shane Pennison'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 Shane Pennison was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 June 16, 2022PECOS EnrolledAccepts Medicare Assignment

431 W LAFAYETTE ST, WINNFIELD, LA 71483(318) 648-0375 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shane Louis Pennison Aprn, Fnp-c NPPES

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

SHANE LOUIS PENNISON APRN, FNP-C (NPI 1063142412) is an individual nurse practitioner in Winnfield, Louisiana, licensed in Louisiana (225854) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alexandria, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063142412

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameSHANE LOUIS PENNISONCredential: APRN, FNP-C

Location Address431 W LAFAYETTE STWinnfield, LA 71483-3463

Mailing AddressPo Box 68Dry Prong, LA 71423-0068 · (318) 447-5305

Phone(318) 648-0375

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 16, 2022

NPPES CertifiedJune 3, 2022

✔ NPI 1063142412 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 LA · 225854

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.

431 W LAFAYETTE ST, Winnfield, LA 71483

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Secondary Practice Location 1

Location 196 George Thompson DrAlexandria, LA 71303-5667 · Phone (318) 483-1730

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Shane Louis Pennison Aprn, 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 ID7719368745

PECOS Enrollment IDI20220721001490

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

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.

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71483 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 19

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

JAMIE GOLEMON NP

Nurse Practitioner (Family)