MS. SHANNON MARIE LUTHER ACNPC-AG
NPI 1205307261
Nurse Practitioner - Acute Care in Warren, OH

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment
627 EASTLAND AVE SE, WARREN, OH 44484(330) 841-4000 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shannon Marie Luther Acnpc-ag NPPES

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

MS. SHANNON MARIE LUTHER ACNPC-AG (NPI 1205307261) is an individual acute care provider in Warren, Ohio, licensed in Ohio (APRN.CNP.023809) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205307261
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. SHANNON MARIE LUTHERCredential: ACNPC-AG
Location Address627 EASTLAND AVE SEWarren, OH 44484-4501
Mailing Address627 Eastland Ave SeWarren, OH 44484-4501 · (330) 841-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 16, 2018
NPI 1205307261 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 OH · APRN.CNP.023809
627 EASTLAND AVE SE, Warren, OH 44484

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

Ms. Shannon Marie Luther Acnpc-ag 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 ID2860730009
PECOS Enrollment IDI20190213000590
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 44484 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Cardiovascular Disease)
627 EASTLAND AVE SE, STE 301
WARREN, OH 44484
Surgery
627 EASTLAND AVE SE, STE 302
WARREN, OH 44484
Durable Medical Equipment & Medical Supplies
627 EASTLAND AVE SE, SUITE 203
WARREN, OH 44484
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
627 EASTLAND AVE SE
WARREN, OH 44484
Surgery
627 EASTLAND AVE SE
WARREN, OH 44484
Nurse Practitioner (Women's Health)
627 EASTLAND AVE SE, SUITE 301
WARREN, OH 44484

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 Luther's NPI number?

The NPI number for Shannon Luther is 1205307261. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Shannon Luther located?

Shannon Luther practices at 627 Eastland Ave SE, Warren, OH 44484. The listed phone number is (330) 841-4000.

What is Shannon Luther's specialty?

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

Is Shannon Luther enrolled in Medicare?

Yes. Shannon Luther 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 Luther accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Shannon Luther 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 Luther was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.