SHANNON DEE BOOTH MSN, PMHNP-BC
NPI 1083379184
Nurse Practitioner - Psychiatric/Mental Health in Wasilla, AK
About Shannon Dee Booth Msn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON DEE BOOTH MSN, PMHNP-BC (NPI 1083379184) is an individual psychiatric/mental health provider in Wasilla, Alaska, licensed in Alaska (182979) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Kau Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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 Dee Booth Msn, Pmhnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Booth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wasilla, AK 99654
- Reassigned Medicare billing, Alaska enrollment
- 33 clinicians in this Medicare group
Pahala, HI 96777
- Reassigned Medicare billing, Hawaii enrollment
- 208 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kau Hospital
Critical Access Hospitals · Pahala, HIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WASILLA, AK 99654
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 Booth's NPI number?
The NPI number for Shannon Booth is 1083379184. It was assigned to this individual provider in the NPPES registry on November 3, 2021.
Where is Shannon Booth located?
Shannon Booth practices at 1363 W Spruce Ave, Wasilla, AK 99654. The listed phone number is (907) 376-2411.
What is Shannon Booth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shannon Booth enrolled in Medicare?
Yes. Shannon Booth 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.
Which organizations bill Medicare for Shannon Booth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Booth reassigns Medicare benefits to 2 organizations: Mat - Su Health Services Inc. (Wasilla, AK) and Kau Hospital (Pahala, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Booth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Booth accept?
Health plans from HMSA and Moda Health Plan, Inc. list Shannon Booth 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 Booth affiliated with any hospitals?
According to CMS data, Shannon Booth is affiliated with Kau Hospital.
When was this NPI record last updated?
The NPPES record for Shannon Booth was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Shannon Dee Booth, MSN, PMHNP-BC · NPI 1083379184
Psychiatric/Mental Health physician in Wasilla, Alaska. Individual provider, active in the CMS NPPES registry since November 3, 2021.
## Identity
- **NPI:** 1083379184 (Entity type: Individual)
- **Enumerated:** November 3, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 182979 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1363 W SPRUCE AVE, Wasilla, AK 99654-5327
- **Phone:** (907) 376-2411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mat - Su Health Services Inc. (NPI 1184725210, Wasilla, AK); Kau Hospital (NPI 1982276127, Pahala, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083379184) · Data from the CMS NPPES public registry.