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SHANNON PRUITT DNP, APRN, FNP-BC
NPI 1295518058
Nurse Practitioner - Family in Overland Park, KS

Active since August 16, 2023PECOS EnrolledAccepts Medicare Assignment
9650 NALL AVE, OVERLAND PARK, KS 66207(913) 696-1127 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2024, Nov 4, 2024, Aug 16, 2023 (3 updates tracked since 2023).

About Shannon Pruitt Dnp, Aprn, Fnp-bc NPPES

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

SHANNON PRUITT DNP, APRN, FNP-BC (NPI 1295518058) is an individual family provider in Overland Park, Kansas, licensed in Kansas (53-83534-031) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295518058
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON PRUITTCredential: DNP, APRN, FNP-BC
Location Address9650 NALL AVEOverland Park, KS 66207-2952
Mailing Address9650 Nall AveOverland Park, KS 66207-2952 · (913) 696-1127
Phone(913) 696-1127
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 16, 2023
Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1295518058 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 KS · 53-83534-031
9650 NALL AVE, Overland Park, KS 66207
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc..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 Pruitt Dnp, Aprn, Fnp-bc 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 ID1951832302
PECOS Enrollment IDI20241204001587
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 66207 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 2

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

JEMSHED A KHAN M.D.
Ophthalmology
9650 NALL AVE
OVERLAND PARK, KS 66207
Johnson County (913) 696-1154
KHAN EYELID AND FACIAL PLASTIC SURGERY LLC
Ophthalmology
9650 NALL AVE
OVERLAND PARK, KS 66207
Johnson County (913) 696-1154

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 Pruitt's NPI number?

The NPI number for Shannon Pruitt is 1295518058. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Shannon Pruitt located?

Shannon Pruitt practices at 9650 Nall Ave, Overland Park, KS 66207. The listed phone number is (913) 696-1127.

What is Shannon Pruitt's specialty?

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

Is Shannon Pruitt enrolled in Medicare?

Yes. Shannon Pruitt 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 Pruitt accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Shannon Pruitt 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 Pruitt was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.