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MRS. SHANNON NICOLE PARKER MSN, APRN, PMHNP-BC
NPI 1568383602
Nurse Practitioner - Psychiatric/Mental Health in Mason, OH

Active since July 23, 2026PECOS Enrolled
4770 DUKE DR STE 202, MASON, OH 45040(937) 759-0545(937) 759-0549 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Shannon Nicole Parker Msn, Aprn, Pmhnp-bc NPPES

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

MRS. SHANNON NICOLE PARKER MSN, APRN, PMHNP-BC (NPI 1568383602) is an individual psychiatric/mental health provider in Mason, Ohio, licensed in Ohio (APRN.CNP.0042750) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1568383602
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SHANNON NICOLE PARKERCredential: MSN, APRN, PMHNP-BC
Location Address4770 DUKE DR STE 202Mason, OH 45040-9010
Mailing Address4256 Fieldsedge DrMason, OH 45040-8539 · (513) 383-7969
Phone(937) 759-0545
Fax(937) 759-0549
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1568383602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0042750
4770 DUKE DR STE 202, Mason, OH 45040
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon Nicole Parker Msn, Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739649260
PECOS Enrollment IDI20260903004027
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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Parker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Woodstream Wellness
22 mi
Psychiatric/Mental Health
9049 SPRINGBORO PIKE
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 84 clinicians in this Medicare group
NPI 1265001234 (937) 759-0545

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 45040 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

CARSON CROY
Physician Assistant
4770 DUKE DR STE 202
MASON, OH 45040
Warren County (937) 759-0545

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 Parker's NPI number?

The NPI number for Shannon Parker is 1568383602. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Shannon Parker located?

Shannon Parker practices at 4770 Duke Dr Ste 202, Mason, OH 45040. The listed phone number is (937) 759-0545.

What is Shannon Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shannon Parker enrolled in Medicare?

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

Which organization bills Medicare for Shannon Parker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Parker reassigns Medicare benefits to Woodstream Wellness (Miamisburg, OH). 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 Parker'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 Parker was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.