DR. SHANNON P DARK PSYD
NPI 1720221849
Psychologist - Clinical in Springfield, MO
About Dr. Shannon P Dark Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON P DARK PSYD (NPI 1720221849) is an individual clinical provider in Springfield, Missouri, licensed in Missouri (2008009364) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Dr. Shannon P Dark Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Dark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65806
- Reassigned Medicare billing, Missouri enrollment
- 182 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 65807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, MO 65807
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 Dark's NPI number?
The NPI number for Shannon Dark is 1720221849. It was assigned to this individual provider in the NPPES registry on April 20, 2009. The provider is also known as Shannon P Pippin.
Where is Shannon Dark located?
Shannon Dark practices at 3550 S National Ave Suite 200, Springfield, MO 65807. The listed phone number is (417) 269-9300.
What is Shannon Dark's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Shannon Dark enrolled in Medicare?
Yes. Shannon Dark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Dark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Dark reassigns Medicare benefits to Advocates For A Healthy Community, Inc (Springfield, MO). The 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 Dark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Dark accept?
Health plans from Oscar Insurance Company list Shannon Dark 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 Dark was last updated on November 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Shannon P Dark, PSYD · NPI 1720221849
Clinical provider in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since April 20, 2009.
## Identity
- **NPI:** 1720221849 (Entity type: Individual)
- **Enumerated:** April 20, 2009
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 2008009364 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3550 S NATIONAL AVE, SUITE 200, Springfield, MO 65807-7309
- **Phone:** (417) 269-9300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Advocates For A Healthy Community, Inc (NPI 1558303057, Springfield, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2010
- **Other identifiers:** Medicare PIN 167600001 (MO); Other P00859517; Medicare PIN 500410016 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1720221849) · Data from the CMS NPPES public registry.