SHANNON TAYLOR INGWERSEN M.D.
NPI 1902162019
Obstetrics & Gynecology - Obstetrics in Melbourne, FL

Active since April 03, 2012PECOS EnrolledAccepts Medicare Assignment
330 E HIBISCUS BLVD, MELBOURNE, FL 32901(321) 724-2229(321) 728-6668 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Nov 15, 2021, Jun 4, 2021 and 1 more (4 updates tracked since 2016).

About Shannon Taylor Ingwersen M.d. NPPES

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

SHANNON TAYLOR INGWERSEN M.D. (NPI 1902162019) is an individual obstetrics provider in Melbourne, Florida, licensed in Florida (ME149728) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902162019
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameSHANNON TAYLOR INGWERSENCredential: M.D.
Location Address330 E HIBISCUS BLVDMelbourne, FL 32901-3155
Mailing Address330 E Hibiscus BlvdMelbourne, FL 32901-3155 · (321) 724-2229 · Fax (321) 728-6681
Fax(321) 728-6668
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 3, 2012
Last NPPES UpdateJuly 11, 20234 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1902162019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License Licensed in FL · ME149728
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License DR.0056592 (CO)
330 E HIBISCUS BLVD, Melbourne, FL 32901

Secondary Practice Location 1

Location 12 Tampa General CirTampa, FL 33606-3571 · Phone (813) 821-8038 · Fax (813) 974-4325

Accepted 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

Shannon Taylor Ingwersen M.d. 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 ID2860789914
PECOS Enrollment IDI20240402002151
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 32901 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

Advanced Practice Midwife
330 E HIBISCUS BLVD
MELBOURNE, FL 32901
Advanced Practice Midwife
330 E HIBISCUS BLVD
MELBOURNE, FL 32901
Advanced Practice Midwife
330 E HIBISCUS BLVD
MELBOURNE, FL 32901
Advanced Practice Midwife
330 E HIBISCUS BLVD
MELBOURNE, FL 32901
Advanced Practice Midwife
330 E HIBISCUS BLVD
MELBOURNE, FL 32901
Obstetrics & Gynecology
330 E HIBISCUS BLVD
MELBOURNE, FL 32901
Advanced Practice Midwife
330 E HIBISCUS BLVD
MELBOURNE, FL 32901
Advanced Practice Midwife
330 E HIBISCUS BLVD
MELBOURNE, FL 32901

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 Ingwersen's NPI number?

The NPI number for Shannon Ingwersen is 1902162019. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Shannon Ingwersen located?

Shannon Ingwersen practices at 330 E Hibiscus Blvd, Melbourne, FL 32901. The listed phone number is (321) 724-2229.

What is Shannon Ingwersen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Shannon Ingwersen enrolled in Medicare?

Yes. Shannon Ingwersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Ingwersen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shannon Ingwersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Ingwersen was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.