SHANNON MELISSA MAGGARD APRN
NPI 1326719154
Nurse Practitioner - Family in Pikeville, KY

Active since September 22, 2021PECOS EnrolledAccepts Medicare Assignment
70.91/100
CMS Quality Rating
200 NURSING HOME LN, PIKEVILLE, KY 41501(731) 394-1145 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Melissa Maggard Aprn NPPES

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

SHANNON MELISSA MAGGARD APRN (NPI 1326719154) is an individual family provider in Pikeville, Kentucky, licensed in Kentucky (3016620) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Hazard Arh Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1326719154
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON MELISSA MAGGARDCredential: APRN
Location Address200 NURSING HOME LNPikeville, KY 41501-6896
Mailing Address36 Pemberton CvJackson, TN 38305-5514 · (731) 394-1145
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 22, 2021
NPPES CertifiedSeptember 22, 2021
NPI 1326719154 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 KY · 3016620
200 NURSING HOME LN, Pikeville, KY 41501

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 Melissa Maggard Aprn 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 ID446658066
PECOS Enrollment IDI20211013000922
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.

Areas of Expertise CMS Part B claims 2

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.

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
52 services52 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Arh Our Lady Of The Way

Critical Access Hospitals · Martin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181305
Location11203 Main StreetMartin, KY 41649 · Floyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

70.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.01
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier18 claims504 services$7.63 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,081 services$0.39 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers33 claims33 services$71.16 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$25.85 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 14

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

Physical Therapy Assistant
200 NURSING HOME LN
PIKEVILLE, KY 41501
Skilled Nursing Facility
200 NURSING HOME LN
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
200 NURSING HOME LN
PIKEVILLE, KY 41501
Occupational Therapy Assistant
200 NURSING HOME LN
PIKEVILLE, KY 41501
Physical Therapist
200 NURSING HOME LN, THERAPY DEPT
PIKEVILLE, KY 41501
Nursing Facility/Intermediate Care Facility
200 NURSING HOME LN
PIKEVILLE, KY 41501
Occupational Therapy Assistant
200 NURSING HOME LN
PIKEVILLE, KY 41501
Speech-Language Pathologist
200 NURSING HOME LN
PIKEVILLE, KY 41501

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 Maggard's NPI number?

The NPI number for Shannon Maggard is 1326719154. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Shannon Maggard located?

Shannon Maggard practices at 200 Nursing Home Ln, Pikeville, KY 41501. The listed phone number is (731) 394-1145.

What is Shannon Maggard's specialty?

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

Is Shannon Maggard enrolled in Medicare?

Yes. Shannon Maggard 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.

Is Shannon Maggard affiliated with any hospitals?

According to CMS data, Shannon Maggard is affiliated with Hazard Arh Regional Medical Center and Arh Our Lady Of The Way.

When was this NPI record last updated?

The NPPES record for Shannon Maggard was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.