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DR. SHANNON D RENICK DNP, APNP, CPNP-PC
NPI 1386167799
Nurse Practitioner - Pediatrics in Columbus, MS

Active since July 18, 2017PECOS Enrolled
210 INDEPENDENCE AVE, COLUMBUS, MS 39710(662) 434-1395 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2024, Jan 10, 2022, Jul 18, 2017 (3 updates tracked since 2017).

About Dr. Shannon D Renick Dnp, Apnp, Cpnp-pc NPPES

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

DR. SHANNON D RENICK DNP, APNP, CPNP-PC (NPI 1386167799) is an individual pediatrics provider in Columbus, Mississippi, licensed in Wisconsin (7787-33) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386167799
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDR. SHANNON D RENICKCredential: DNP, APNP, CPNP-PC
Location Address210 INDEPENDENCE AVEColumbus, MS 39710-1269
Mailing Address201 IndependenceColumbus, MS 39710-5300 · (624) 341-3956
Phone(662) 434-1395
Sole ProprietorNo
Enumeration DateJuly 18, 2017
Last NPPES UpdateJanuary 13, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1386167799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in WI · 7787-33✔ Licensed in MS · 907042
210 INDEPENDENCE AVE, Columbus, MS 39710
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Other Names 1

Former Name (1)Ms. Shannon D Graham Dnp, Apnp, Cpnp-pc

Secondary Practice Locations 2

Location 156 Dutch LnColumbus, MS 39702-5500 · Phone (662) 329-3808
Location 23600 Bluecutt Rd Ste 1Columbus, MS 39705-1303 · Phone (662) 570-4770

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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)

Dr. Shannon D Renick Dnp, Apnp, Cpnp-pc 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 39710 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Renick's NPI number?

The NPI number for Shannon Renick is 1386167799. It was assigned to this individual provider in the NPPES registry on July 18, 2017. The provider is also known as Ms. Shannon D Graham Dnp, Apnp, Cpnp-Pc.

Where is Shannon Renick located?

Shannon Renick practices at 210 Independence Ave, Columbus, MS 39710. The listed phone number is (662) 434-1395.

What is Shannon Renick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Shannon Renick enrolled in Medicare?

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

What insurance does Shannon Renick accept?

Health plans from Blue Cross and Blue Shield of Alabama list Shannon Renick 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 Renick was last updated on January 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.