SHANNON TILLAR THOMPSON DNP
NPI 1891121539
Nurse Practitioner - Pediatrics in Annapolis, MD

Q: What is Shannon Thompson's NPI number?

The NPI number for Shannon Thompson is 1891121539. It was assigned to this individual provider in the NPPES registry on September 25, 2013. The provider is also known as Shannon Rene' Tillar.

Q: What is Shannon Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Thompson was last updated on September 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2013PECOS Enrolled

200 FORBES ST STE 200, ANNAPOLIS, MD 21401(410) 263-6363 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 26, 2024, Aug 27, 2021, Oct 28, 2020 and 2 more (5 updates tracked since 2020).

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About Shannon Tillar Thompson Dnp NPPES

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

SHANNON TILLAR THOMPSON DNP (NPI 1891121539) is an individual pediatrics provider in Annapolis, Maryland, licensed in Maryland (R259175) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891121539

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSHANNON TILLAR THOMPSONCredential: DNP

Location Address200 FORBES ST STE 200Annapolis, MD 21401-1599

Mailing Address200 Forbes St Ste 200Annapolis, MD 21401-1599 · (410) 263-6363

Phone(410) 263-6363

Sole ProprietorNo

Enumeration DateSeptember 25, 2013

Last NPPES UpdateSeptember 26, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1891121539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in MD · R259175

200 FORBES ST STE 200, Annapolis, MD 21401

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Other Names 1

Former Name (1)Shannon Rene' Tillar

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 Tillar Thompson Dnp 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 21401 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

MS. KRISTEN MICHELE MEDINA CPNP

Nurse Practitioner (Pediatrics)