SHANNON WILKES QUINN APRN
NPI 1215583059
Nurse Practitioner - Family in Salt Lake City, UT

Active since August 16, 2019PECOS EnrolledAccepts Medicare Assignment
4624 S HOLLADAY BLVD STE 100, SALT LAKE CITY, UT 84117(801) 277-2682 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2019, Aug 16, 2019 (2 updates tracked since 2019).

About Shannon Wilkes Quinn Aprn NPPES

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

SHANNON WILKES QUINN APRN (NPI 1215583059) is an individual family provider in Salt Lake City, Utah, licensed in Utah (9062677-4405) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215583059
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON WILKES QUINNCredential: APRN
Location Address4624 S HOLLADAY BLVD STE 100Salt Lake City, UT 84117-7056
Mailing Address4624 S Holladay Blvd Ste 100Salt Lake City, UT 84117-7056 · (801) 277-2682
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 16, 2019
Last NPPES UpdateOctober 31, 20192 updates tracked since enumeration
NPI 1215583059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in UT · 9062677-4405
4624 S HOLLADAY BLVD STE 100, Salt Lake City, UT 84117

Other Names 1

Former Name (1)Shannon Marie Wilkes Aprn

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 Wilkes Quinn Aprn 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 ID6103251251
PECOS Enrollment IDI20210325000547
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.

Hospital Affiliations CMS Care Compare 2

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84117 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 2

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

Clinic/Center (Primary Care)
4624 S HOLLADAY BLVD STE 100
SALT LAKE CITY, UT 84117
Nurse Practitioner (Primary Care)
4624 S HOLLADAY BLVD STE 100
SALT LAKE CITY, UT 84117

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 Quinn's NPI number?

The NPI number for Shannon Quinn is 1215583059. It was assigned to this individual provider in the NPPES registry on August 16, 2019. The provider is also known as Shannon Marie Wilkes Aprn.

Where is Shannon Quinn located?

Shannon Quinn practices at 4624 S Holladay Blvd Ste 100, Salt Lake City, UT 84117. The listed phone number is (801) 277-2682.

What is Shannon Quinn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Quinn enrolled in Medicare?

Yes. Shannon Quinn 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 Quinn accept?

Health plans from Imperial Health Plan of the Southwest, Inc., Molina Healthcare and University of Utah Health Plans list Shannon Quinn 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 Quinn affiliated with any hospitals?

According to CMS data, Shannon Quinn is affiliated with Intermountain Medical Center and St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Quinn was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.