SHANNON GROSE NP
NPI 1629552799
Nurse Practitioner - Family in Charleston, WV

Q: What is Shannon Grose's NPI number?

The NPI number for Shannon Grose is 1629552799. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Q: What is Shannon Grose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Grose was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 24, 2018PECOS EnrolledAccepts Medicare Assignment

4602 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 205-7535(304) 205-7549 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2023, Sep 24, 2018 (2 updates tracked since 2018).

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About Shannon Grose Np NPPES

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

SHANNON GROSE NP (NPI 1629552799) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (114025) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629552799

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON GROSECredential: NP

Location Address4602 MACCORKLE AVE SECharleston, WV 25304-1848

Mailing Address104 Alex LnCharleston, WV 25304-2952 · (304) 734-2040 · Fax (304) 734-2047

Phone(304) 205-7535

Fax(304) 205-7549

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 24, 2018

Last NPPES UpdateJune 14, 20232 updates tracked since enumeration

NPPES CertifiedJune 14, 2023

✔ NPI 1629552799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WV · 114025

Also ListedNurse PractitionerTaxonomy 363L00000X · License CNP181231 (ME)

4602 MACCORKLE AVE SE, Charleston, WV 25304

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource.Insurance ›

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

Shannon Grose Np 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 ID2961756119

PECOS Enrollment IDI20230623002633

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.

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

KANCHAN KATUWAL THAPA NP

Nurse Practitioner (Family)

4602 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 205-7535

ABBEY RAE MOORE NP

Nurse Practitioner (Family)

4602 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 205-7535

DR. KAITLIN MAY PSYD

Psychologist

4602 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (681) 205-8600

INTEGRATED HEALTH CARE PROVIDERS, INC.

Emergency Medicine

4602 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 925-4777

DR. RANDALL ALAN SWAIN MD

Family Medicine

4602 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 925-4777

MR. PARRISH EDWARD HARLESS APRN, FNP-BC

Nurse Practitioner (Family)

4602 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 205-7535

MRS. KAREN LYNN BAILEY PA-C

Physician Assistant

4602 MACCORKLE AVE SE, 81 LINCOLN PANTHER WAY
CHARLESTON, WV 25304

Kanawha County (304) 205-7535

DONALD L SEIDLER MD

Family Medicine

4602 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 925-4777

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 Grose's NPI number?

The NPI number for Shannon Grose is 1629552799. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Shannon Grose located?

Shannon Grose practices at 4602 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 205-7535.

What is Shannon Grose's specialty?

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

Is Shannon Grose enrolled in Medicare?

Yes. Shannon Grose 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.

What insurance does Shannon Grose accept?

Health plans from Blue Cross and Blue Shield of Texas and CareSource list Shannon Grose 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 Shannon Grose affiliated with any hospitals?

According to CMS data, Shannon Grose is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Grose was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.