Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SHANNEN IVEY APRN-CNP
NPI 1225856560
Nurse Practitioner - Family in Lafayette, LA

Active since September 26, 2024PECOS Enrolled
1103 KALISTE SALOOM RD STE 100, LAFAYETTE, LA 70508(337) 234-5234 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Shannen Ivey Aprn-cnp NPPES

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

MRS. SHANNEN IVEY APRN-CNP (NPI 1225856560) is an individual family provider in Lafayette, Louisiana, licensed in Louisiana (237081) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225856560
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANNEN IVEYCredential: APRN-CNP
Location Address1103 KALISTE SALOOM RD STE 100Lafayette, LA 70508-5784
Mailing Address1103 Kaliste Saloom Rd Ste 100Lafayette, LA 70508-5784 · (337) 234-5234
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 26, 2024
Last NPPES UpdateAugust 28, 2026
NPPES CertifiedAugust 28, 2026
NPI 1225856560 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 LA · 237081
1103 KALISTE SALOOM RD STE 100, Lafayette, LA 70508

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Shannen Ivey Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294206124
PECOS Enrollment IDI20260602001520
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 70508 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Other Providers at the Same Location NPPES 3

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

Physician Assistant (Medical)
1103 KALISTE SALOOM RD STE 100
LAFAYETTE, LA 70508
Nurse Practitioner (Family)
1103 KALISTE SALOOM RD STE 100
LAFAYETTE, LA 70508
Neurological Surgery
1103 KALISTE SALOOM RD STE 100
LAFAYETTE, LA 70508

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 Shannen Ivey's NPI number?

The NPI number for Shannen Ivey is 1225856560. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Shannen Ivey located?

Shannen Ivey practices at 1103 Kaliste Saloom Rd Ste 100, Lafayette, LA 70508. The listed phone number is (337) 234-5234.

What is Shannen Ivey's specialty?

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

Is Shannen Ivey enrolled in Medicare?

Yes. Shannen Ivey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannen Ivey was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.