SHANNON WOLFINBARGER CNM
NPI 1235591413
Advanced Practice Midwife in Pine Ridge, SD

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment
1201 E. HWY 18, PINE RIDGE, SD 57770(605) 867-3003(605) 867-3305 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 19, 2022, Mar 21, 2018, Mar 25, 2016 (3 updates tracked since 2016).

About Shannon Wolfinbarger Cnm NPPES

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

SHANNON WOLFINBARGER CNM (NPI 1235591413) is an individual advanced practice midwife in Pine Ridge, South Dakota and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1235591413
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameSHANNON WOLFINBARGERCredential: CNM
Location Address1201 E. HWY 18Pine Ridge, SD 57770
Mailing AddressPo Box 1407Pine Ridge, SD 57770-1407 · (909) 991-6062
Fax(605) 867-3305
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 25, 2016
Last NPPES UpdateMay 19, 20223 updates tracked since enumeration
NPPES CertifiedMay 19, 2022
✔ NPI 1235591413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1201 E. HWY 18, Pine Ridge, SD 57770

Other Names 1

Former Name (1)Shannon Thornbrugh Cnm

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Wolfinbarger Cnm 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 ID648565887
PECOS Enrollment IDI20250814000364
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shannon Wolfinbarger reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
EAST HIGHWAY 18
Pine Ridge, SD 57770
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
Clinic/Center
1000 HEALTH CENTER RD
Kyle, SD 57752
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57770 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
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

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

Advanced Practice Midwife
1201 E. HWY 18
PINE RIDGE, SD 57770

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 Wolfinbarger's NPI number?

The NPI number for Shannon Wolfinbarger is 1235591413. It was assigned to this individual provider in the NPPES registry on March 25, 2016. The provider is also known as Shannon Thornbrugh Cnm.

Where is Shannon Wolfinbarger located?

Shannon Wolfinbarger practices at 1201 E. Hwy 18, Pine Ridge, SD 57770. The listed phone number is (605) 867-3003.

What is Shannon Wolfinbarger's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Shannon Wolfinbarger enrolled in Medicare?

Yes. Shannon Wolfinbarger 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.

Which organizations bill Medicare for Shannon Wolfinbarger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Wolfinbarger reassigns Medicare benefits to 3 organizations: Pine Ridge Indian Health Service Hospital (Pine Ridge, SD), Pine Ridge Indian Health Service Hospital (Kyle, SD) and Southern California Permanente Medical Group (Hemet, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Wolfinbarger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Wolfinbarger was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.