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: July 19, 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
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
5021 RIVERFRONT DR, Suffolk, VA 23434

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

The NPI number assigned to this healthcare provider is 1689246670, enumerated as an "individual" on July 11, 2021.

The provider is located at 5021 RIVERFRONT DR SUFFOLK, VA 23434 and the phone number is (757) 319-2423.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.