MRS. SHANNON D DORRIS FNP
NPI 1447527486
Nurse Practitioner - Family in Jackson, MS

Active since November 18, 2011PECOS EnrolledAccepts Medicare Assignment
350 W WOODROW WILSON AVE, JACKSON, MS 39213(601) 983-1385 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shannon D Dorris Fnp NPPES

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

MRS. SHANNON D DORRIS FNP (NPI 1447527486) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R863922) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1447527486
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANNON D DORRISCredential: FNP
Location Address350 W WOODROW WILSON AVEJackson, MS 39213-7681
Mailing Address219 Crescent H DrTerry, MS 39170-8745 · (601) 983-1385
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 18, 2011
Last NPPES UpdateSeptember 23, 2016
NPI 1447527486 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 MS · R863922
350 W WOODROW WILSON AVE, Jackson, MS 39213

Other Identifiers 2

Medicaid01953308MS
Medicare PIN302I082391

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

Mrs. Shannon D Dorris Fnp 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 ID2264694298
PECOS Enrollment IDI20251014003437
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 39213 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.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 411
JACKSON, MS 39213
Family Medicine
350 W WOODROW WILSON AVE, BOX 20
JACKSON, MS 39213
Registered Nurse
350 W WOODROW WILSON AVE, #499A
JACKSON, MS 39213
Pharmacist (Ambulatory Care)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Radiology (Radiation Oncology)
350 W WOODROW WILSON AVE, SUITE 16
JACKSON, MS 39213
Nurse Practitioner (Primary Care)
350 W WOODROW WILSON AVE, SUITE 499A
JACKSON, MS 39213

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 Dorris's NPI number?

The NPI number for Shannon Dorris is 1447527486. It was assigned to this individual provider in the NPPES registry on November 18, 2011.

Where is Shannon Dorris located?

Shannon Dorris practices at 350 W Woodrow Wilson Ave, Jackson, MS 39213. The listed phone number is (601) 983-1385.

What is Shannon Dorris's specialty?

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

Is Shannon Dorris enrolled in Medicare?

Yes. Shannon Dorris 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.

When was this NPI record last updated?

The NPPES record for Shannon Dorris was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.