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DR. SHANNA SHACKELFORD DNP-APRN
NPI 1720639172
Nurse Practitioner - Psychiatric/Mental Health in Bolivar, TN

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment
23.31/100
CMS Quality Rating
11100 OLD HWY 64 W, BOLIVAR, TN 38008(901) 300-6808 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2022, Sep 26, 2019 (2 updates tracked since 2019).

About Dr. Shanna Shackelford Dnp-aprn NPPES

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

DR. SHANNA SHACKELFORD DNP-APRN (NPI 1720639172) is an individual psychiatric/mental health provider in Bolivar, Tennessee, licensed in Tennessee (26359) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720639172
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. SHANNA SHACKELFORDCredential: DNP-APRN
Location Address11100 OLD HWY 64 WBolivar, TN 38008
Mailing Address9245 Poplar Ave Ste 368Germantown, TN 38138-7931 · (901) 300-6808
Phone(901) 300-6808
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 26, 2019
Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1720639172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 26359
11100 OLD HWY 64 W, Bolivar, TN 38008
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Dr. Shanna Shackelford Dnp-aprn 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.

PECOS PAC ID1355779711
PECOS Enrollment IDI20200317002651
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,260 services205 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
969 services222 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
136 services135 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
58 services30 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38008 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

23.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost77.73

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 Shanna Shackelford's NPI number?

The NPI number for Shanna Shackelford is 1720639172. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Shanna Shackelford located?

Shanna Shackelford practices at 11100 Old Hwy 64 W, Bolivar, TN 38008. The listed phone number is (901) 300-6808.

What is Shanna Shackelford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shanna Shackelford enrolled in Medicare?

Yes. Shanna Shackelford 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 Shanna Shackelford accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Shanna Shackelford 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 Shanna Shackelford was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.