SHANNON MICHELLE FRYERY NP
NPI 1407895725
Nurse Practitioner - Family in Oxford, MS
About Shannon Michelle Fryery Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON MICHELLE FRYERY NP (NPI 1407895725) is an individual family provider in Oxford, Mississippi, licensed in Mississippi (R853471) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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 Michelle Fryery Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shannon Fryery reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: North Mississippi Medical Center, Inc.
- 581 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 225 clinicians in this Medicare group
Tuscaloosa, AL 35401
- Reassigned Medicare billing, Mississippi enrollment
- 5 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OXFORD, MS 38655
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 Fryery's NPI number?
The NPI number for Shannon Fryery is 1407895725. It was assigned to this individual provider in the NPPES registry on June 5, 2006.
Where is Shannon Fryery located?
Shannon Fryery practices at 2890 S Lamar Blvd, Oxford, MS 38655. The listed phone number is (662) 636-6062.
What is Shannon Fryery's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Fryery enrolled in Medicare?
Yes. Shannon Fryery 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 organizations bill Medicare for Shannon Fryery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Fryery reassigns Medicare benefits to 3 organizations: North Mississippi Medcial Center, Inc. (Oxford, MS), North Mississippi Medical Clinics Inc (Tupelo, MS) and West Alabama Aids Outreach Inc (Tuscaloosa, AL). Each 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 Fryery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Fryery accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Shannon Fryery 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 Fryery was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Shannon Michelle Fryery, NP · NPI 1407895725
Family physician in Oxford, Mississippi. Individual provider, active in the CMS NPPES registry since June 5, 2006.
## Identity
- **NPI:** 1407895725 (Entity type: Individual)
- **Enumerated:** June 5, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R853471 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2890 S LAMAR BLVD, Oxford, MS 38655-5347
- **Phone:** (662) 636-6062 · **Fax:** (833) 974-0101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): North Mississippi Medcial Center, Inc. (NPI 1942025564, Oxford, MS); North Mississippi Medical Clinics Inc (NPI 1053469486, Tupelo, MS); West Alabama Aids Outreach Inc (NPI 1942043070, Tuscaloosa, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** June 11, 2025
- **Other identifiers:** Medicaid 04338295 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1407895725) · Data from the CMS NPPES public registry.