SHANNON RAQUEL MILES FNP
NPI 1881256378
Nurse Practitioner - Family in San Tan Valley, AZ

Q: What is Shannon Miles's NPI number?

The NPI number for Shannon Miles is 1881256378. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Q: What is Shannon Miles'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 Miles was last updated on December 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 03, 2019PECOS Enrolled

287 E HUNT HWY STE 105, SAN TAN VALLEY, AZ 85143(480) 677-8282 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 21, 2020, Mar 3, 2020, Jul 3, 2019 (3 updates tracked since 2019).

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About Shannon Raquel Miles Fnp NPPES

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

SHANNON RAQUEL MILES FNP (NPI 1881256378) is an individual family provider in San Tan Valley, Arizona, licensed in Arizona (235897) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in El Mirage.

NPPES Registry Identity

NPI1881256378

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON RAQUEL MILESCredential: FNP

Location Address287 E HUNT HWY STE 105San Tan Valley, AZ 85143-5096

Mailing Address4545 N 36th St Ste 126Phoenix, AZ 85018-3456 · (623) 329-0551

Phone(480) 677-8282

Sole ProprietorYes

Enumeration DateJuly 3, 2019

Last NPPES UpdateDecember 21, 20203 updates tracked since enumeration

NPPES CertifiedDecember 21, 2020

✔ NPI 1881256378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 235897

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 165853 (AZ)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 235897 (AZ)

287 E HUNT HWY STE 105, San Tan Valley, AZ 85143

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Secondary Practice Location 1

Location 112341 W Corrine DrEl Mirage, AZ 85335-5224 · Phone (623) 329-0551

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

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 Raquel Miles Fnp 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 85143 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

ROSEMARIE SCHMIDT FNP

Nurse Practitioner (Family)