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: August 30, 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
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

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 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.

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.

Physical Therapist (Orthopedic)
1500 LINE AVE
SHREVEPORT, LA 71101
Physical Therapist
1500 LINE AVE
SHREVEPORT, LA 71101
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101
1500 LINE AVE
SHREVEPORT, LA 71101
Nurse Anesthetist, Certified Registered
1500 LINE AVE
SHREVEPORT, LA 71101
1500 LINE AVE, SUITE 200
SHREVEPORT, LA 71101
Registered Nurse
1500 LINE AVE
SHREVEPORT, LA 71101
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101

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.

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 13 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.