MR. SHANNON E PHILLIPS JR. N.P.
NPI 1811969165
Nurse Practitioner - Family in Carthage, TX

Q: What is Shannon Phillips's NPI number?

The NPI number for Shannon Phillips is 1811969165. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Q: What is Shannon Phillips'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 Phillips was last updated on March 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

409 COTTAGE RD, CARTHAGE, TX 75633(903) 694-4824 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2023, Sep 28, 2020, Jul 1, 2020 (3 updates tracked since 2020).

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About Mr. Shannon E Phillips Jr. N.p. NPPES

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

MR. SHANNON E PHILLIPS JR. N.P. (NPI 1811969165) is an individual family provider in Carthage, Texas, licensed in Texas (669011) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Quitman Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1811969165

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. SHANNON E PHILLIPS JR.Credential: N.P.

Location Address409 COTTAGE RDCarthage, TX 75633-1466

Mailing AddressP.o. Box 76Canton, TX 75103 · (903) 962-3419 · Fax (903) 385-3340

Phone(903) 694-4824

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateFebruary 2, 2006

Last NPPES UpdateMarch 28, 20233 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1811969165 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 TX · 669011

409 COTTAGE RD, Carthage, TX 75633

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mr. Shannon E Phillips Jr. N.p. 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 ID6800867136

PECOS Enrollment IDI20040802001049

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.

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Quitman Hospital

Critical Access Hospitals · Quitman, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number451380

Location117 Winnsboro StreetQuitman, TX 75783 · Wood County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75633 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier15 claims5,775 services$0.03 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier22 claims22 services$22.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. VIDYASAGAR GURRAM REDDY

Emergency Medicine