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SHANNON J KORTH PA-C
NPI 1083107973
Physician Assistant in Lincoln, NE

Active since June 14, 2018PECOS Enrolled
4130 PIONEER WOODS DR STE 1, LINCOLN, NE 68506(402) 489-4700(402) 489-5220 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon J Korth Pa-c NPPES

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

SHANNON J KORTH PA-C (NPI 1083107973) is an individual physician assistant in Lincoln, Nebraska, licensed in Nebraska (2250) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083107973
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON J KORTHCredential: PA-C
Location Address4130 PIONEER WOODS DR STE 1Lincoln, NE 68506-7552
Mailing Address4130 Pioneer Woods Dr Ste 1Lincoln, NE 68506-7552 · (402) 489-4700 · Fax (402) 489-5220
Phone(402) 489-4700
Fax(402) 489-5220
Sole ProprietorNo
Enumeration DateJune 14, 2018
✔ NPI 1083107973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NE · 2250
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4130 PIONEER WOODS DR STE 1, Lincoln, NE 68506
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Other Names 1

Other Name (5)Shannon J Dunn

Other Identifiers 1

Other2250NE · Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon J Korth Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 68506 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

MICHAEL KRAGE KOWALKE PA-C
Physician Assistant
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Lancaster County (402) 489-4700
TANNER M DODSON DPM
Podiatrist (Foot & Ankle Surgery)
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Lancaster County (402) 489-4700
MS. CAROL LYNN ORTLIEB P.T.
Physical Therapist
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Lancaster County (402) 489-4700
ERICA L HEIMAN MPT, MSA
Physical Therapist
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Lancaster County (402) 489-4700
SHAUN RING PA
Physician Assistant
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Lancaster County (402) 489-4700
MAKAYLA MADSEN PA
Physician Assistant (Medical)
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Lancaster County (402) 489-4700
PATRICK T HURLBUT M.D.
Orthopaedic Surgery
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Lancaster County (402) 489-4700
GUSTAVO ROZINDO MACHADO MD
Plastic Surgery
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Lancaster County (402) 489-4700

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 Korth's NPI number?

The NPI number for Shannon Korth is 1083107973. It was assigned to this individual provider in the NPPES registry on June 14, 2018. The provider is also known as Shannon J Dunn.

Where is Shannon Korth located?

Shannon Korth practices at 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506. The listed phone number is (402) 489-4700.

What is Shannon Korth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Korth enrolled in Medicare?

Yes. Shannon Korth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Korth was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.