SHANNON LYNN BROOKS APRN
NPI 1639787245
Nurse Practitioner - Family in Louisville, KY

Active since July 20, 2020PECOS Enrolled
170 DR ARLA WAY STE 101, LOUISVILLE, KY 40229(502) 955-8480 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Jan 5, 2021, Jul 20, 2020 (3 updates tracked since 2020).

About Shannon Lynn Brooks Aprn NPPES

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

SHANNON LYNN BROOKS APRN (NPI 1639787245) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3014491) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639787245
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON LYNN BROOKSCredential: APRN
Location Address170 DR ARLA WAY STE 101Louisville, KY 40229-5427
Mailing Address314 Braeburn DrBrooks, KY 40109-5074
Sole ProprietorNo
Enumeration DateJuly 20, 2020
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1639787245 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
Licenses✔ Licensed in KY · 3014491✔ Licensed in OH · APRN.CNP.0042420
Also ListedFamily MedicineTaxonomy 207Q00000X · License KY19765 (KY)
170 DR ARLA WAY STE 101, Louisville, KY 40229

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Lynn Brooks Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Shannon Brooks reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
887 E SECOND ST
Pomona, CA 91766
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Connecticut, Kentucky, Massachusetts, Michigan, Ohio and Texas enrollments
  • 86 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 40229 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 3

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

Nurse Practitioner (Family)
170 DR ARLA WAY STE 101
LOUISVILLE, KY 40229
Nurse Practitioner (Family)
170 DR ARLA WAY STE 101
LOUISVILLE, KY 40229
Internal Medicine
170 DR ARLA WAY STE 101
LOUISVILLE, KY 40229

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 Brooks's NPI number?

The NPI number for Shannon Brooks is 1639787245. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Shannon Brooks located?

Shannon Brooks practices at 170 Dr Arla Way Ste 101, Louisville, KY 40229. The listed phone number is (502) 955-8480.

What is Shannon Brooks's specialty?

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

Is Shannon Brooks enrolled in Medicare?

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

Which organizations bill Medicare for Shannon Brooks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Brooks reassigns Medicare benefits to 3 organizations: Molina Healthcare Of California (Pomona, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA) and Molina Care Connections, LLC. (Long Beach, CA). Each 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 Brooks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Brooks accept?

Health plans from Molina Healthcare list Shannon Brooks 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.

When was this NPI record last updated?

The NPPES record for Shannon Brooks was last updated on July 8, 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.