SHANNON KATHLEEN ANASTASIADIS NP
NPI 1912050360
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since January 19, 2007PECOS Enrolled
5415 NE 38TH AVE, PORTLAND, OR 97211(503) 735-5230 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2022, Apr 16, 2019 (2 updates tracked since 2019).

About Shannon Kathleen Anastasiadis Np NPPES

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

SHANNON KATHLEEN ANASTASIADIS NP (NPI 1912050360) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202114832NP) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912050360
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANNON KATHLEEN ANASTASIADISCredential: NP
Location Address5415 NE 38TH AVEPortland, OR 97211-8009
Mailing Address5415 Ne 38th AvePortland, OR 97211-8009 · (503) 735-5230
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2022
NPI 1912050360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 202114832NP
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 200150083NP (OR)
5415 NE 38TH AVE, Portland, OR 97211

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 (PECOS)

Shannon Kathleen Anastasiadis Np 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 97211 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Reported Quality Measures

Appropriate Treatment for Children with Upper Respiratory Infection (URI)
Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode
100%23 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%82 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
68%78 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
43%406 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
61%434 patients3/55-star benchmark: 96%
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists
Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period
36%658 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 61% · 525 patients
Patients physicalActivity: 61% · 525 patients
96%525 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Anastasiadis's NPI number?

The NPI number for Shannon Anastasiadis is 1912050360. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Shannon Anastasiadis located?

Shannon Anastasiadis practices at 5415 NE 38th Ave, Portland, OR 97211. The listed phone number is (503) 735-5230.

What is Shannon Anastasiadis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shannon Anastasiadis enrolled in Medicare?

Yes. Shannon Anastasiadis is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Anastasiadis accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Shannon Anastasiadis 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 Anastasiadis was last updated on February 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.