SHANNON LEIGH DUERK FNP-C
NPI 1912590191
Nurse Practitioner - Family in Bethlehem, GA

Active since February 18, 2021PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
990 LOGANVILLE HWY STE 105, BETHLEHEM, GA 30620(770) 848-9300(770) 848-9301 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Feb 18, 2021 (2 updates tracked since 2021).

About Shannon Leigh Duerk Fnp-c NPPES

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

SHANNON LEIGH DUERK FNP-C (NPI 1912590191) is an individual family provider in Bethlehem, Georgia, licensed in Georgia (APRN-NP298736) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1912590191
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON LEIGH DUERKCredential: FNP-C
Location Address990 LOGANVILLE HWY STE 105Bethlehem, GA 30620-2175
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Fax(770) 848-9301
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 18, 2021
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
NPI 1912590191 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
Licenses Licensed in GA · APRN-NP298736 Licensed in GA · RN298736
990 LOGANVILLE HWY STE 105, Bethlehem, GA 30620

Secondary Practice Location 1

Location 1865 N Highland Ave NEAtlanta, GA 30306-4565 · Phone (404) 733-6089

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 Leigh Duerk Fnp-c 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 ID5395154744
PECOS Enrollment IDI20210514001091
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.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30620 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

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 Duerk's NPI number?

The NPI number for Shannon Duerk is 1912590191. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Shannon Duerk located?

Shannon Duerk practices at 990 Loganville Hwy Ste 105, Bethlehem, GA 30620. The listed phone number is (770) 848-9300.

What is Shannon Duerk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Duerk enrolled in Medicare?

Yes. Shannon Duerk 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.

Is Shannon Duerk affiliated with any hospitals?

According to CMS data, Shannon Duerk is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Shannon Duerk was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.