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SHANNON RENAE SOMERS
NPI 1205557303
Nurse Practitioner in Ponca City, OK

Active since September 07, 2022PECOS Enrolled
104 S 4TH ST, PONCA CITY, OK 74601(580) 382-4034 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Sep 7, 2022 (2 updates tracked since 2022).

About Shannon Renae Somers NPPES

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

SHANNON RENAE SOMERS (NPI 1205557303) is an individual nurse practitioner in Ponca City, Oklahoma, licensed in Oklahoma (211628) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205557303
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON RENAE SOMERS
Location Address104 S 4TH STPonca City, OK 74601-5329
Mailing Address104 S 4th StPonca City, OK 74601-5329
Phone(580) 382-4034
Sole ProprietorYes
Enumeration DateSeptember 7, 2022
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1205557303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OK · 211628
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License R0128161 (OK)
104 S 4TH ST, Ponca City, OK 74601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Renae Somers 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74601 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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 Somers's NPI number?

The NPI number for Shannon Somers is 1205557303. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is Shannon Somers located?

Shannon Somers practices at 104 S 4th St, Ponca City, OK 74601. The listed phone number is (580) 382-4034.

What is Shannon Somers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Somers enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Somers was last updated on January 31, 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.