SHANNON BRUEY
NPI 1265985717
Nurse Practitioner in Stillwater, OK

Active since August 02, 2016PECOS Enrolled
1202 W FARM RD, STILLWATER, OK 74078(405) 744-7665(405) 744-6556 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Sep 12, 2024, Sep 15, 2021 and 2 more (5 updates tracked since 2017).

About Shannon Bruey NPPES

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

SHANNON BRUEY (NPI 1265985717) is an individual nurse practitioner in Stillwater, Oklahoma, licensed in Oklahoma (R0096735) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265985717
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON BRUEY
Location Address1202 W FARM RDStillwater, OK 74078-2000
Mailing Address1202 W Farm RdStillwater, OK 74078-2000 · (405) 744-7665 · Fax (405) 744-6556
Fax(405) 744-6556
Sole ProprietorNo
Enumeration DateAugust 2, 2016
Last NPPES UpdateSeptember 11, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
NPI 1265985717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OK · R0096735
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 96735 (OK)
1202 W FARM RD, Stillwater, OK 74078

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 (PECOS)

Shannon Bruey 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 74078 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.

Other Providers at the Same Location NPPES 12

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

Internal Medicine
1202 W FARM RD
STILLWATER, OK 74078
Family Medicine
1202 W FARM RD
STILLWATER, OK 74078
Family Medicine
1202 W FARM RD
STILLWATER, OK 74078
Nurse Practitioner (Women's Health)
1202 W FARM RD
STILLWATER, OK 74078
Family Medicine
1202 W FARM RD
STILLWATER, OK 74078
Nurse Practitioner (Family)
1202 W FARM RD
STILLWATER, OK 74078
Clinic/Center (Student Health)
1202 W FARM RD
STILLWATER, OK 74078
Nurse Practitioner (Family)
1202 W FARM RD
STILLWATER, OK 74078

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 Bruey's NPI number?

The NPI number for Shannon Bruey is 1265985717. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Shannon Bruey located?

Shannon Bruey practices at 1202 W Farm Rd, Stillwater, OK 74078. The listed phone number is (405) 744-7665.

What is Shannon Bruey's specialty?

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

Is Shannon Bruey enrolled in Medicare?

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

What insurance does Shannon Bruey accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and Providence Health Plan and 1 other insurer list Shannon Bruey 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 Bruey was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.