SHANNON BALLOU APRN, FNP-C
NPI 1255708012
Nurse Practitioner - Family in Lawton, OK

Active since August 27, 2015PECOS EnrolledAccepts Medicare Assignment
3811 W GORE BLVD STE 6, LAWTON, OK 73505(580) 250-6525 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Ballou Aprn, Fnp-c NPPES

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

SHANNON BALLOU APRN, FNP-C (NPI 1255708012) is an individual family provider in Lawton, Oklahoma, licensed in Oklahoma (106662) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Comanche County Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1255708012
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON BALLOUCredential: APRN, FNP-C
Location Address3811 W GORE BLVD STE 6Lawton, OK 73505-6328
Mailing Address3811 W Gore Blvd Ste 6Lawton, OK 73505-6328 · (580) 250-6525
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 27, 2015
NPI 1255708012 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 OK · 106662
3811 W GORE BLVD STE 6, Lawton, OK 73505

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 Ballou Aprn, Fnp-c 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 ID1951610815
PECOS Enrollment IDI20151016000955
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

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

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370056
Location3401 West Gore BlvdLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers19 claims19 services$19.89 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers21 claims21 services$37.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers31 claims31 services$97.75 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers18 claims20 services$212.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$28.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker (Clinical)
3811 W GORE BLVD STE 6
LAWTON, OK 73505
Nurse Practitioner
3811 W GORE BLVD STE 6
LAWTON, OK 73505

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 Ballou's NPI number?

The NPI number for Shannon Ballou is 1255708012. It was assigned to this individual provider in the NPPES registry on August 27, 2015.

Where is Shannon Ballou located?

Shannon Ballou practices at 3811 W Gore Blvd Ste 6, Lawton, OK 73505. The listed phone number is (580) 250-6525.

What is Shannon Ballou's specialty?

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

Is Shannon Ballou enrolled in Medicare?

Yes. Shannon Ballou 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 Ballou accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Shannon Ballou 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 Ballou affiliated with any hospitals?

According to CMS data, Shannon Ballou is affiliated with Comanche County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Ballou was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.