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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SHANNEL MATTHEWS NP
NPI 1780077255
Nurse Practitioner - Women's Health in Wright Patterson Afb, OH

Active since March 09, 2015PECOS Enrolled
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 257-9612 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2022, Jan 24, 2020 (2 updates tracked since 2020).

About Mrs. Shannel Matthews Np NPPES

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

MRS. SHANNEL MATTHEWS NP (NPI 1780077255) is an individual women's health provider in Wright Patterson Afb, Ohio, licensed in California (95013479) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1780077255
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. SHANNEL MATTHEWSCredential: NP
Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529
Mailing Address15430 S 183rd LnGoodyear, AZ 85338-3653 · (915) 309-3968
Phone(937) 257-9612
Sole ProprietorNo
Enumeration DateMarch 9, 2015
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1780077255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in CA · 95013479
Also ListedRegistered NurseTaxonomy 163W00000X · License 71787 (NM), 71203 (HI)
4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433
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Secondary Practice Location 1

Location 17219 N Litchfield RdGlendale, AZ 85309-1529 · Phone (623) 856-2273

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannel Matthews Np 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 45433 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

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 Shannel Matthews's NPI number?

The NPI number for Shannel Matthews is 1780077255. It was assigned to this individual provider in the NPPES registry on March 9, 2015.

Where is Shannel Matthews located?

Shannel Matthews practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-9612.

What is Shannel Matthews's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Shannel Matthews enrolled in Medicare?

Yes. Shannel Matthews is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannel Matthews was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.