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MRS. SHANNON NICOLE HEPLER
NPI 1962035402
Nurse Practitioner in Marshall, MI

Active since February 12, 2020PECOS EnrolledAccepts Medicare Assignment
92.05/100
CMS Quality Rating
1174 W MICHIGAN AVE STE B, MARSHALL, MI 49068(269) 789-4390 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2020, Feb 12, 2020 (2 updates tracked since 2020).

About Mrs. Shannon Nicole Hepler NPPES

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

MRS. SHANNON NICOLE HEPLER (NPI 1962035402) is an individual nurse practitioner in Marshall, Michigan, licensed in Michigan (4704277919) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Oaklawn Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962035402
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SHANNON NICOLE HEPLER
Location Address1174 W MICHIGAN AVE STE BMarshall, MI 49068-1625
Mailing Address9839 Gavin LnBattle Creek, MI 49014-7400 · (269) 924-9786
Phone(269) 789-4390
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 12, 2020
Last NPPES UpdateApril 24, 20232 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1962035402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704277919
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704277919 (MI)
1174 W MICHIGAN AVE STE B, Marshall, MI 49068
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1302 N Monroe St Ste BAlbion, MI 49224-1765 · Phone (517) 654-1020
Location 21521 Gull RdKalamazoo, MI 49048-1640 · Phone (269) 226-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mrs. Shannon Nicole Hepler 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 ID9436551918
PECOS Enrollment IDI20210706002979
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services99 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49068 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

92.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.19
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%853 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
40%401 patients2/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN MITCHEL LUTZ PA
Physician Assistant (Medical)
1174 W MICHIGAN AVE STE B
MARSHALL, MI 49068
Calhoun County (269) 789-4390
AMY ELLEN JEAN HOWELL NP-C
Nurse Practitioner (Family)
1174 W MICHIGAN AVE STE B
MARSHALL, MI 49068
Calhoun County (269) 789-4390
MR. JEFFREY CHARLES LEE FNP-C
Nurse Practitioner
1174 W MICHIGAN AVE STE B
MARSHALL, MI 49068
Calhoun County (269) 789-4390

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 Hepler's NPI number?

The NPI number for Shannon Hepler is 1962035402. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Shannon Hepler located?

Shannon Hepler practices at 1174 W Michigan Ave Ste B, Marshall, MI 49068. The listed phone number is (269) 789-4390.

What is Shannon Hepler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Hepler enrolled in Medicare?

Yes. Shannon Hepler 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 Hepler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Shannon Hepler 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.

Is Shannon Hepler affiliated with any hospitals?

According to CMS data, Shannon Hepler is affiliated with Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Hepler was last updated on April 24, 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.