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SHANNON MARIE HUSTED FNP-BC, MSN, BSN, RN
NPI 1689246670
Nurse Practitioner - Family in Suffolk, VA

Active since July 11, 2021PECOS Enrolled
5021 RIVERFRONT DR, SUFFOLK, VA 23434(757) 319-2423 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shannon Marie Husted Fnp-bc, Msn, Bsn, Rn NPPES

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

SHANNON MARIE HUSTED FNP-BC, MSN, BSN, RN (NPI 1689246670) is an individual family provider in Suffolk, Virginia, licensed in Utah (13341645-8900) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689246670
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON MARIE HUSTEDCredential: FNP-BC, MSN, BSN, RN
Location Address5021 RIVERFRONT DRSuffolk, VA 23434-7188
Mailing Address5021 Riverfront DrSuffolk, VA 23434-7188 · (757) 319-2423
Phone(757) 319-2423
Sole ProprietorNo
Enumeration DateJuly 11, 2021
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1689246670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in UT · 13341645-8900✔ Licensed in UT · 13341645-4405✔ Licensed in VA · 0024185946
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 0001160108 (VA)
Also ListedHomemakerTaxonomy 376J00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5021 RIVERFRONT DR, Suffolk, VA 23434
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Other Names 1

Former Name (1)Miss Shannon Marie Clark

Other Identifiers 1

OtherT26563035VA · Dmv

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 Marie Husted Fnp-bc, Msn, Bsn, Rn 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 23434 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Husted's NPI number?

The NPI number for Shannon Husted is 1689246670. It was assigned to this individual provider in the NPPES registry on July 11, 2021. The provider is also known as Miss Shannon Marie Clark.

Where is Shannon Husted located?

Shannon Husted practices at 5021 Riverfront Dr, Suffolk, VA 23434. The listed phone number is (757) 319-2423.

What is Shannon Husted's specialty?

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

Is Shannon Husted enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Husted was last updated on April 27, 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.