SHANNON M KOVALCIK NP
NPI 1245317502
Nurse Practitioner in Phoenix, AZ

Active since November 01, 2006PECOS Enrolled
4840 E INDIAN SCHOOL RD STE 101, PHOENIX, AZ 85018(602) 224-6174 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon M Kovalcik Np NPPES

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

SHANNON M KOVALCIK NP (NPI 1245317502) is an individual nurse practitioner in Phoenix, Arizona, licensed in Arizona (AP2427) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245317502
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON M KOVALCIKCredential: NP
Location Address4840 E INDIAN SCHOOL RD STE 101Phoenix, AZ 85018-5500
Mailing Address24431 N 38th TerGlendale, AZ 85310-3360 · (623) 399-8717
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1245317502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AZ · AP2427
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.

4840 E INDIAN SCHOOL RD STE 101, Phoenix, AZ 85018

Other Identifiers 1

Medicare UPININ PROCESS

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 M Kovalcik Np 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 85018 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 4

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

Nurse Practitioner (Family)
4840 E INDIAN SCHOOL RD STE 101
PHOENIX, AZ 85018
Internal Medicine
4840 E INDIAN SCHOOL RD STE 101
PHOENIX, AZ 85018
Internal Medicine
4840 E INDIAN SCHOOL RD STE 101
PHOENIX, AZ 85018
Nurse Practitioner (Family)
4840 E INDIAN SCHOOL RD STE 101
PHOENIX, AZ 85018

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 Kovalcik's NPI number?

The NPI number for Shannon Kovalcik is 1245317502. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Shannon Kovalcik located?

Shannon Kovalcik practices at 4840 E Indian School Rd Ste 101, Phoenix, AZ 85018. The listed phone number is (602) 224-6174.

What is Shannon Kovalcik's specialty?

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

Is Shannon Kovalcik enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Kovalcik was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.