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SHANNON HENDERSON NP
NPI 1740532480
Nurse Practitioner in Medford, OR

Active since October 04, 2012PECOS EnrolledAccepts Medicare Assignment
83.78/100
CMS Quality Rating
520 MEDICAL CENTER DR STE 201, MEDFORD, OR 97504(541) 789-5711(541) 789-5710 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2020, May 12, 2020, Apr 20, 2020 and 34 more (37 updates tracked since 2018).

About Shannon Henderson Np NPPES

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

SHANNON HENDERSON NP (NPI 1740532480) is an individual nurse practitioner in Medford, Oregon, licensed in Oregon (202004735NP-PP) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1740532480
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON HENDERSONCredential: NP
Location Address520 MEDICAL CENTER DR STE 201Medford, OR 97504-4334
Mailing AddressPo Box 748157Los Angeles, CA 90074-8157
Phone(541) 789-5711
Fax(541) 789-5710
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 4, 2012
Last NPPES UpdateJune 17, 202037 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1740532480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in OR · 202004735NP-PP✔ Licensed in NC · 5009257
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
520 MEDICAL CENTER DR STE 201, Medford, OR 97504
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11001 Blythe Blvd, Ste 300 - Cardiac SurgeryCharlotte, NC 28203-5866 · Phone (704) 373-0212
Location 2200 Medical Park Dr, Ste 230Concord, NC 28025-2982 · Phone (704) 403-1349
Location 310650 Park Rd, Ste 220Charlotte, NC 28210-8538 · Phone (704) 667-3840
Location 41001 Blythe Blvd, STE 300- Adult CardiologyCharlotte, NC 28203-5866 · Phone (704) 373-0212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Shannon Henderson Np 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 ID547410045
PECOS Enrollment IDI20200721002867
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 3

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
419 services159 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services34 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
34 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

83.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.08
Promoting Interoperability100
Improvement Activities40
Cost63.86

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.

KATHRYN HARDAWAY NP-C
Nurse Practitioner (Family)
520 MEDICAL CENTER DR STE 201
MEDFORD, OR 97504
Jackson County (541) 789-5710
DR. DANIELLE JACKS MD
Surgery
520 MEDICAL CENTER DR STE 201
MEDFORD, OR 97504
Jackson County (541) 789-5710

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 Henderson's NPI number?

The NPI number for Shannon Henderson is 1740532480. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Where is Shannon Henderson located?

Shannon Henderson practices at 520 Medical Center Dr Ste 201, Medford, OR 97504. The listed phone number is (541) 789-5711.

What is Shannon Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Henderson enrolled in Medicare?

Yes. Shannon Henderson 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 Shannon Henderson accept?

Health plans from Moda Health Plan, Inc. list Shannon Henderson 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.

Is Shannon Henderson affiliated with any hospitals?

According to CMS data, Shannon Henderson is affiliated with Asante Three Rivers Medical Center and Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Henderson was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.