MRS. SHANNON D DORRIS FNP
NPI 1447527486
Nurse Practitioner - Family in Jackson, MS
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
Specialties & Licenses
Other Identifiers 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Dorris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nashville, TN 37219
- Reassigned Medicare billing, Kentucky and Mississippi enrollments
- 118 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.
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.
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.
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
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.
Which organization bills Medicare for Shannon Dorris's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Dorris reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). 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 Shannon Dorris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 10 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.
# Mrs. Shannon D Dorris, FNP · NPI 1447527486
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since November 18, 2011.
## Identity
- **NPI:** 1447527486 (Entity type: Individual)
- **Enumerated:** November 18, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R863922 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 350 W WOODROW WILSON AVE, Jackson, MS 39213-7681
- **Phone:** (601) 983-1385
## 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:** Community Care Health Network LLC (NPI 1619368842, Nashville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 23, 2016
- **Other identifiers:** Medicaid 01953308 (MS); Medicare PIN 302I082391
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Source: [NPI Profile](https://npiprofile.com/npi/1447527486) · Data from the CMS NPPES public registry.