SHANNON DOUGLAS FNP
NPI 1679920466
Nurse Practitioner - Family in Hamilton, OH

Q: What is Shannon Douglas's NPI number?

The NPI number for Shannon Douglas is 1679920466. It was assigned to this individual provider in the NPPES registry on May 21, 2016.

Q: What is Shannon Douglas'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 Douglas was last updated on May 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 21, 2016PECOS Enrolled

543 PARK AVE, HAMILTON, OH 45013(513) 737-0257 Get Directions Write a Review

NPPES record last updated: May 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shannon Douglas Fnp NPPES

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

SHANNON DOUGLAS FNP (NPI 1679920466) is an individual family provider in Hamilton, Ohio, licensed in Ohio (COA.19029-NP) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679920466

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON DOUGLASCredential: FNP

Location Address543 PARK AVEHamilton, OH 45013-3033

Mailing Address543 Park AveHamilton, OH 45013-3033

Phone(513) 737-0257

Sole ProprietorYes

Enumeration DateMay 21, 2016

✔ NPI 1679920466 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 OH · COA.19029-NP

543 PARK AVE, Hamilton, OH 45013

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Douglas Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45013 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 7

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

ALLISON TUCKER FNP-C

Nurse Practitioner (Family)