SHANNON THURSTON CNM
NPI 1134813405
Advanced Practice Midwife in Gresham, OR

Q: What is Shannon Thurston's NPI number?

The NPI number for Shannon Thurston is 1134813405. It was assigned to this individual provider in the NPPES registry on June 7, 2023. The provider is also known as Shannon Duletzke Rn.

Q: What is Shannon Thurston's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Thurston was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 07, 2023PECOS Enrolled

24850 SE STARK ST STE 200, GRESHAM, OR 97030(503) 491-9444 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2023, Jun 8, 2023 (2 updates tracked since 2023).

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About Shannon Thurston Cnm NPPES

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

SHANNON THURSTON CNM (NPI 1134813405) is an individual advanced practice midwife in Gresham, Oregon, licensed in Oregon (10009305) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134813405

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameSHANNON THURSTONCredential: CNM

Location Address24850 SE STARK ST STE 200Gresham, OR 97030-8320

Mailing Address24850 Se Stark St Ste 200Gresham, OR 97030-8320 · (503) 491-9444

Phone(503) 491-9444

Sole ProprietorNo

Enumeration DateJune 7, 2023

Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration

NPPES CertifiedAugust 14, 2023

✔ NPI 1134813405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in OR · 10009305

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedMidwifeTaxonomy 176B00000X · License 10009305 (OR)

24850 SE STARK ST STE 200, Gresham, OR 97030

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Other Names 1

Former Name (1)Shannon Duletzke Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 Thurston Cnm 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 Reassignment

Medicare enrollment records show Shannon Thurston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Clinics LLC

10.0 mi

Rural Health

36860 INDUSTRIAL WAY
Sandy, OR 97055

Reassigned Medicare billing, Oregon enrollment
1,248 clinicians in this Medicare group

NPI 1730472192 (503) 826-0206

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 14

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

JESSICA ANNE HARGADINE

Advanced Practice Midwife