TIM SHANNON PSYD
NPI 1407956758
Psychologist in Normal, IL
About Tim Shannon Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIM SHANNON PSYD (NPI 1407956758) is an individual psychologist in Normal, Illinois, licensed in Illinois (071004783) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
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
Tim Shannon Psyd 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 Reassignment
Medicare enrollment records show Tim Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 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 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tim Shannon's NPI number?
The NPI number for Tim Shannon is 1407956758. It was assigned to this individual provider in the NPPES registry on September 25, 2006.
Where is Tim Shannon located?
Tim Shannon practices at 405 Kays Dr Ste C, Normal, IL 61761. The listed phone number is (309) 664-3130.
What is Tim Shannon's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Tim Shannon enrolled in Medicare?
Yes. Tim Shannon 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 organization bills Medicare for Tim Shannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tim Shannon reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The 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 Tim Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tim Shannon accept?
Health plans from Oscar Health list Tim Shannon 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 Tim Shannon was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.