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SHANNA NICHOLE BLACKWELL FNP-C
NPI 1578302287
Nurse Practitioner - Family in Memphis, TN

Active since May 22, 2024PECOS EnrolledAccepts Medicare Assignment
1211 UNION AVE STE 400, MEMPHIS, TN 38104(901) 478-0650(901) 726-4237 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2026, Jul 23, 2024 (2 updates tracked since 2024).

About Shanna Nichole Blackwell Fnp-c NPPES

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

SHANNA NICHOLE BLACKWELL FNP-C (NPI 1578302287) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (36123) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578302287
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNA NICHOLE BLACKWELLCredential: FNP-C
Location Address1211 UNION AVE STE 400Memphis, TN 38104-6656
Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655
Phone(901) 478-0650
Fax(901) 726-4237
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 22, 2024
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1578302287 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 TN · 36123
1211 UNION AVE STE 400, Memphis, TN 38104
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11211 Union Ave Ste 965Memphis, TN 38104-6638 · Phone (901) 435-8550 · Fax (901) 478-0781
Location 21251 Wesley Dr Ste 100Memphis, TN 38116-6442 · Phone (901) 435-8550 · Fax (901) 395-2621

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Shanna Nichole Blackwell Fnp-c 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 ID4183169477
PECOS Enrollment IDI20240710005010
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 Shanna Blackwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialty Physician Group LLC
12 mi
Cardiovascular Disease
7460 WOLF RIVER BLVD
Germantown, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 122 clinicians in this Medicare group
NPI 1174842181 (901) 763-0200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 5

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

MARGARET B HARVEY PHD, APRN-BC, ACNP
Nurse Practitioner (Acute Care)
1211 UNION AVE STE 400
MEMPHIS, TN 38104
Shelby County (901) 478-0650
ROBYN BYRD WEBB
Nurse Practitioner (Family)
1211 UNION AVE STE 400
MEMPHIS, TN 38104
Shelby County (901) 478-0650
DR. IKECHUKWU ANTHONY IFEDILI MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1211 UNION AVE STE 400
MEMPHIS, TN 38104
Shelby County (901) 478-0650
MRS. EMILY SHIPMAN LENNON PA-C
Physician Assistant (Medical)
1211 UNION AVE STE 400
MEMPHIS, TN 38104
Shelby County (901) 478-0650
YEHOSHUA C LEVINE MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1211 UNION AVE STE 400
MEMPHIS, TN 38104
Shelby County (901) 478-0650

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 Shanna Blackwell's NPI number?

The NPI number for Shanna Blackwell is 1578302287. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Shanna Blackwell located?

Shanna Blackwell practices at 1211 Union Ave Ste 400, Memphis, TN 38104. The listed phone number is (901) 478-0650.

What is Shanna Blackwell's specialty?

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

Is Shanna Blackwell enrolled in Medicare?

Yes. Shanna Blackwell 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 Shanna Blackwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanna Blackwell reassigns Medicare benefits to Specialty Physician Group LLC (Germantown, 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 Shanna Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanna Blackwell accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Shanna Blackwell 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.

Is Shanna Blackwell affiliated with any hospitals?

According to CMS data, Shanna Blackwell is affiliated with Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Shanna Blackwell was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.