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SHANNON DECKERT DO
NPI 1780579615
Student in an Organized Health Care Education/Training Program in Hammond, LA

Active since June 11, 2025PECOS Enrolled
15799 PAUL VEGA MD DRIVE, HAMMOND, LA 70403(985) 345-2700 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Deckert Do NPPES

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

SHANNON DECKERT DO (NPI 1780579615) is an individual student in an organized health care education/training program in Hammond, Louisiana and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780579615
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON DECKERTCredential: DO
Location Address15799 PAUL VEGA MD DRIVEHammond, LA 70403-1434
Mailing Address22 Fir StFredericksburg, PA 17026-9572 · (717) 222-6241
Phone(985) 345-2700
Sole ProprietorNo
Enumeration DateJune 11, 2025
NPPES CertifiedMay 26, 2025
✔ NPI 1780579615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15799 PAUL VEGA MD DRIVE, Hammond, LA 70403
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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 Deckert Do 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.

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 Deckert's NPI number?

The NPI number for Shannon Deckert is 1780579615. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Where is Shannon Deckert located?

Shannon Deckert practices at 15799 Paul Vega MD Drive, Hammond, LA 70403. The listed phone number is (985) 345-2700.

What is Shannon Deckert's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Deckert enrolled in Medicare?

Yes. Shannon Deckert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Deckert was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.