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SHANNON RENEE FAULKINBERRY MD, MPH
NPI 1104246545
Pediatrics - Pediatric Critical Care Medicine in Shreveport, LA

Active since April 24, 2014PECOS Enrolled
2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118(318) 212-5665(318) 212-5698 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 10, 2025, Aug 15, 2024, Aug 11, 2020 and 1 more (4 updates tracked since 2020).

About Shannon Renee Faulkinberry Md, Mph NPPES

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

SHANNON RENEE FAULKINBERRY MD, MPH (NPI 1104246545) is an individual pediatric critical care medicine provider in Shreveport, Louisiana, licensed in Florida (ME144400) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1104246545
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameSHANNON RENEE FAULKINBERRYCredential: MD, MPH
Location Address2510 BERT KOUNS INDUSTRIAL LOOPShreveport, LA 71118-3119
Mailing Address2510 Bert Kouns Industrial LoopShreveport, LA 71118-3119 · (318) 212-5665 · Fax (318) 212-5698
Phone(318) 212-5665
Fax(318) 212-5698
Sole ProprietorYes
Enumeration DateApril 24, 2014
Last NPPES UpdateJanuary 10, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1104246545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in FL · ME144400
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
2510 BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71118
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Other Names 1

Former Name (1)Shannon Renee Wells Md, Mph

Secondary Practice Location 1

Location 192 W Miller StOrlando, FL 32806-2032 · Phone (321) 841-5104 · Fax (321) 841-6871

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Renee Faulkinberry Md, Mph 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Faulkinberry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wk Pediatric Intensivist
0.1 mi
Pediatric Critical Care Medicine
2510 BERT KOUN LOOP RM 4003
Shreveport, LA 71118
  • Reassigned Medicare billing, Louisiana enrollment
  • 3 clinicians in this Medicare group
NPI 1023074549 (318) 212-5665
Orlando Health Medical Group Inc
787 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

BILLY B MILLER III CRNA
Nurse Anesthetist, Certified Registered
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5000
WILLIS KNIGHTON MEDICAL CENTER, INC.
General Acute Care Hospital
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5003
GABRIELLE RENEE WAGGONER
Registered Nurse (Neonatal Intensive Care)
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 707-2429
DR. PATRICK TIMOTHY GALLAGHER SR. M.D.
Emergency Medicine
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5500
WK BEHAVIORAL HEALTH SERVICES
Psychiatry & Neurology (Psychiatry)
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5200
MRS. SARAH HATFIELD NNP
Nurse Practitioner (Neonatal, Critical Care)
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5416
DAVID R EASTERLING MD
Emergency Medicine
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVPORT, LA 71118
Caddo Parish (318) 212-5500
G BRENT WHITTON MD AND WILLIS-KNIGHTON MEDICAL CENTER
Pediatrics (Neonatal-Perinatal Medicine)
2510 BERT KOUNS INDUSTRIAL LOOP, ROOM 215
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5970

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 Faulkinberry's NPI number?

The NPI number for Shannon Faulkinberry is 1104246545. It was assigned to this individual provider in the NPPES registry on April 24, 2014. The provider is also known as Shannon Renee Wells MD, Mph.

Where is Shannon Faulkinberry located?

Shannon Faulkinberry practices at 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118. The listed phone number is (318) 212-5665.

What is Shannon Faulkinberry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Shannon Faulkinberry enrolled in Medicare?

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

Which organizations bill Medicare for Shannon Faulkinberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Faulkinberry reassigns Medicare benefits to 2 organizations: Wk Pediatric Intensivist (Shreveport, LA) and Orlando Health Medical Group Inc (Orlando, FL). 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 Faulkinberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Faulkinberry accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and HMO Louisiana list Shannon Faulkinberry 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 Faulkinberry was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.