SHANNON WHITE APRN
NPI 1730607466
Nurse Practitioner - Pediatrics in Owasso, OK

Q: What is Shannon White's NPI number?

The NPI number for Shannon White is 1730607466. It was assigned to this individual provider in the NPPES registry on September 1, 2017.

Q: What is Shannon White's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Shannon White was last updated on September 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 01, 2017PECOS Enrolled

12455 E 100TH ST N STE 300, OWASSO, OK 74055(918) 274-9700(918) 274-1395 Get Directions Write a Review

NPPES record last updated: September 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shannon White Aprn NPPES

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

SHANNON WHITE APRN (NPI 1730607466) is an individual pediatrics provider in Owasso, Oklahoma, licensed in Oklahoma (75091) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730607466

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSHANNON WHITECredential: APRN

Location Address12455 E 100TH ST N STE 300Owasso, OK 74055-4678

Mailing Address12455 E 100th St N Ste 300Owasso, OK 74055-4678

Phone(918) 274-9700

Fax(918) 274-1395

Sole ProprietorYes

Enumeration DateSeptember 1, 2017

✔ NPI 1730607466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in OK · 75091

12455 E 100TH ST N STE 300, Owasso, OK 74055

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Other Identifiers 1

Other75091OK · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

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 White Aprn 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 74055 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

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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.

MRS. PHYLLIS A. PEACE APRN

Nurse Practitioner (Family)