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SHANNON M MCDONOUGH ARNP
NPI 1265916266
Nurse Practitioner - Family in Jacksonville, FL

Active since September 17, 2018PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
1215 DUNN AVE STE 1, JACKSONVILLE, FL 32218(904) 696-7474(904) 696-7476 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2018, Oct 25, 2018, Sep 17, 2018 (3 updates tracked since 2018).

About Shannon M Mcdonough Arnp NPPES

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

SHANNON M MCDONOUGH ARNP (NPI 1265916266) is an individual family provider in Jacksonville, Florida, licensed in Florida (9410213) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265916266
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON M MCDONOUGHCredential: ARNP
Location Address1215 DUNN AVE STE 1Jacksonville, FL 32218-4897
Mailing Address6520 Fort Caroline RdJacksonville, FL 32277-2044 · (904) 745-3618 · Fax (904) 722-4271
Phone(904) 696-7474
Fax(904) 696-7476
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 17, 2018
Last NPPES UpdateDecember 4, 20183 updates tracked since enumeration
✔ NPI 1265916266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 9410213
Also ListedGeneral PracticeTaxonomy 208D00000X · License 9410213 (FL)
1215 DUNN AVE STE 1, Jacksonville, FL 32218
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

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 M Mcdonough Arnp 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 ID446595490
PECOS Enrollment IDI20181219000335
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 Reassignment

Medicare enrollment records show Shannon Mcdonough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians Inc
5.7 mi
Emergency Medicine
655 W 8TH ST, UFJP EMERGENCY MEDICINE
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 573 clinicians in this Medicare group
NPI 1265693279 (904) 244-6340

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
51 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

KAYLA MARIE DEMUS WILMOT PA
Physician Assistant (Medical)
1215 DUNN AVE STE 1
JACKSONVILLE, FL 32218
Duval County (904) 745-3618
FAMILY CARE PARTNERS URGENT CARE, LLC
Clinic/Center (Urgent Care)
1215 DUNN AVE STE 1
JACKSONVILLE, FL 32218
Duval County (904) 696-7474
MRS. LAUREN ELIZABETH BONNER ARNP
Nurse Practitioner (Family)
1215 DUNN AVE STE 1
JACKSONVILLE, FL 32218
Duval County (904) 696-7474
DR. JEFFREY WAYNE KRENZER M.D.
Family Medicine
1215 DUNN AVE STE 1
JACKSONVILLE, FL 32218
Duval County (904) 696-7474

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 Mcdonough's NPI number?

The NPI number for Shannon Mcdonough is 1265916266. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Where is Shannon Mcdonough located?

Shannon Mcdonough practices at 1215 Dunn Ave Ste 1, Jacksonville, FL 32218. The listed phone number is (904) 696-7474.

What is Shannon Mcdonough's specialty?

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

Is Shannon Mcdonough enrolled in Medicare?

Yes. Shannon Mcdonough 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 organization bills Medicare for Shannon Mcdonough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Mcdonough reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). The 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 Mcdonough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Mcdonough accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Shannon Mcdonough 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.

When was this NPI record last updated?

The NPPES record for Shannon Mcdonough was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.