SHANNON MICHELE GAVIN MSN, RN, FNP-BC
NPI 1801199070
Nurse Practitioner - Family in Chesterton, IN

Q: What is Shannon Gavin's NPI number?

The NPI number for Shannon Gavin is 1801199070. It was assigned to this individual provider in the NPPES registry on December 9, 2010.

Q: What is Shannon Gavin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Gavin was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 09, 2010PECOS Enrolled

407 W INDIANA AVE, CHESTERTON, IN 46304(219) 763-8112(219) 764-5384 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shannon Michele Gavin Msn, Rn, Fnp-bc NPPES

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

SHANNON MICHELE GAVIN MSN, RN, FNP-BC (NPI 1801199070) is an individual family provider in Chesterton, Indiana, licensed in Indiana (2010007825) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801199070

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON MICHELE GAVINCredential: MSN, RN, FNP-BC

Location Address407 W INDIANA AVEChesterton, IN 46304-2350

Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 764-3251 · Fax (219) 764-3251

Phone(219) 763-8112

Fax(219) 764-5384

Sole ProprietorNo

Enumeration DateDecember 9, 2010

Last NPPES UpdateMay 26, 2016

✔ NPI 1801199070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in IN · 2010007825

407 W INDIANA AVE, Chesterton, IN 46304

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Other Identifiers 3

Medicare PINM400040525IN

Other71003579AIN · License

Medicaid201015570IN

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 Michele Gavin Msn, Rn, Fnp-bc 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 46304 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 6

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

LISA M NICHOLS FNP

Nurse Practitioner (Family)