SHANNON MCCALLUM N.P.
NPI 1649339342
Nurse Practitioner - Primary Care in Detroit, MI
About Shannon Mccallum N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON MCCALLUM N.P. (NPI 1649339342) is an individual primary care provider in Detroit, Michigan, licensed in Michigan (4704131498) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Mccallum N.p. 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St John Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
DETROIT, MI 48236
DETROIT, MI 48236
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 Mccallum's NPI number?
The NPI number for Shannon Mccallum is 1649339342. It was assigned to this individual provider in the NPPES registry on December 8, 2006.
Where is Shannon Mccallum located?
Shannon Mccallum practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-8777.
What is Shannon Mccallum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Shannon Mccallum enrolled in Medicare?
Yes. Shannon Mccallum 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 Mccallum accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Shannon Mccallum 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 Mccallum affiliated with any hospitals?
According to CMS data, Shannon Mccallum is affiliated with Ascension St John Hospital.
When was this NPI record last updated?
The NPPES record for Shannon Mccallum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Shannon Mccallum, N.P. · NPI 1649339342
Primary Care physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since December 8, 2006.
## Identity
- **NPI:** 1649339342 (Entity type: Individual)
- **Enumerated:** December 8, 2006
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704131498 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 22101 MOROSS RD, Detroit, MI 48236-2148
- **Phone:** (313) 343-8777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1649339342) · Data from the CMS NPPES public registry.