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SHANNON L MCTIRE NP
NPI 1942438411
Nurse Practitioner - Psychiatric/Mental Health in Shreveport, LA

Active since June 23, 2009PECOS Enrolled
1500 LINE AVE, SUITE 204, SHREVEPORT, LA 71101(318) 629-5001(318) 629-5020 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon L Mctire Np NPPES

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

SHANNON L MCTIRE NP (NPI 1942438411) is an individual psychiatric/mental health provider in Shreveport, Louisiana, licensed in Louisiana (AP05879) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942438411
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANNON L MCTIRECredential: NP
Location Address1500 LINE AVE, SUITE 204Shreveport, LA 71101-4639
Mailing Address1500 Line Ave, Suite 202Shreveport, LA 71101-4639 · (318) 629-5505 · Fax (318) 629-5506
Phone(318) 629-5001
Fax(318) 629-5020
Sole ProprietorNo
Enumeration DateJune 23, 2009
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1942438411 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 LA · AP05879
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP05879 (LA)
1500 LINE AVE, Shreveport, LA 71101
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon L Mctire 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Mctire reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bhg Lxii LLC
0.1 mi
Rehabilitation, Substance Use Disorder
1303 LINE AVE STE 600, OBOT ROOM # 100
Shreveport, LA 71101
  • Reassigned Medicare billing, Louisiana enrollment
  • 13 clinicians in this Medicare group
NPI 1134838857 (318) 425-3400
Ark-La-Tex Mental Health, LLC
5.3 mi
Nurse Practitioner
8660 FERN AVE STE 120
Shreveport, LA 71105
  • Reassigned Medicare billing, Louisiana enrollment
NPI 1265327415 (318) 416-9649

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71101 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

KELLY DANIELS PT, DPT
Physical Therapist (Orthopedic)
1500 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 213-3810
TONYA L MCCULLOCH MPT, CWS
Physical Therapist
1500 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 213-3800
JOHN MARSHALL HAYNIE MD
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101
Caddo Parish (318) 635-3052
ADVANCED NEURO MONITORING
1500 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 632-6060
EMILY MARIEN WINKLER
Nurse Anesthetist, Certified Registered
1500 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 213-3800
BRIAN K ADKINS CNIM
1500 LINE AVE, SUITE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 632-6060
CAMILLE THEISEN RN
Registered Nurse
1500 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 213-3800
STEPHEN L. COX M.D.
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101
Caddo Parish (318) 635-3052

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 Mctire's NPI number?

The NPI number for Shannon Mctire is 1942438411. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Shannon Mctire located?

Shannon Mctire practices at 1500 Line Ave Suite 204, Shreveport, LA 71101. The listed phone number is (318) 629-5001.

What is Shannon Mctire's specialty?

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

Is Shannon Mctire enrolled in Medicare?

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

Which organizations bill Medicare for Shannon Mctire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Mctire reassigns Medicare benefits to 2 organizations: Bhg Lxii LLC (Shreveport, LA) and Ark-La-Tex Mental Health, LLC (Shreveport, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Mctire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Mctire was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.