SHANNON L MOFFETT NP
NPI 1174606289
Nurse Practitioner - Acute Care in Jackson, MS

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
69.83/100
CMS Quality Rating
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF PULMONARY, JACKSON, MS 39216(601) 984-5650(601) 984-5658 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon L Moffett Np NPPES

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

SHANNON L MOFFETT NP (NPI 1174606289) is an individual acute care provider in Jackson, Mississippi, licensed in Mississippi (R857161) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1174606289
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHANNON L MOFFETTCredential: NP
Location Address2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF PULMONARYJackson, MS 39216-4505
Mailing Address2500 N State St, Division Of PulmonaryJackson, MS 39216-4500 · (601) 984-6426 · Fax (601) 984-6439
Fax(601) 984-5658
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 23, 2006
Last NPPES UpdateJune 29, 2016
NPI 1174606289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MS · R857161
2500 NORTH STATE STREET, Jackson, MS 39216

Other Identifiers 4

OtherP01648526MS · Railroad Medicare Ptan
Medicare PIN302I508859MS
Medicaid06188884MS
Medicare PIN302I506454MS

Accepted 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

Shannon L Moffett Np 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 ID4880695998
PECOS Enrollment IDI20070116000263
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services22 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250001
Location2500 N State StJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.08
Promoting Interoperability83
Improvement Activities40
Cost48.31

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.

Nurse Practitioner
2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216
Nurse Practitioner (Critical Care Medicine)
2500 NORTH STATE STREET
JACKSON, MS 39216
Internal Medicine (Geriatric Medicine)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216
Pediatrics
2500 NORTH STATE STREET, UMMC NEONATOLOGY
JACKSON, MS 39216
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216
Nurse Practitioner (Psychiatric/Mental Health)
2500 NORTH STATE STREET
JACKSON, MS 39216
Internal Medicine (Cardiovascular Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216

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 Moffett's NPI number?

The NPI number for Shannon Moffett is 1174606289. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Shannon Moffett located?

Shannon Moffett practices at 2500 North State Street Department Of Medicine Division Of Pulmonary, Jackson, MS 39216. The listed phone number is (601) 984-5650.

What is Shannon Moffett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shannon Moffett enrolled in Medicare?

Yes. Shannon Moffett 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.

What insurance does Shannon Moffett accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Shannon Moffett 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 Moffett affiliated with any hospitals?

According to CMS data, Shannon Moffett is affiliated with University Of Mississippi Med Center.

When was this NPI record last updated?

The NPPES record for Shannon Moffett was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.