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SHANNON RENEE MCCARTER FNP-C
NPI 1962079525
Nurse Practitioner - Family in Munster, IN

Active since June 10, 2021PECOS EnrolledAccepts Medicare Assignment
10110 DONALD S POWERS DR STE 202, MUNSTER, IN 46321(219) 922-8222(219) 922-8377 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2024, Jun 24, 2021, Jun 10, 2021 (3 updates tracked since 2021).

About Shannon Renee Mccarter Fnp-c NPPES

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

SHANNON RENEE MCCARTER FNP-C (NPI 1962079525) is an individual family provider in Munster, Indiana, licensed in Indiana (71011197A) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962079525
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON RENEE MCCARTERCredential: FNP-C
Location Address10110 DONALD S POWERS DR STE 202Munster, IN 46321-4070
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084
Phone(219) 922-8222
Fax(219) 922-8377
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 10, 2021
Last NPPES UpdateApril 17, 20243 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1962079525 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
License✔ Licensed in IN · 71011197A
10110 DONALD S POWERS DR STE 202, Munster, IN 46321
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon R Fields, Arroyo

Other Identifiers 1

Medicaid300053721IN

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

Shannon Renee Mccarter 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 ID3173925310
PECOS Enrollment IDI20210712001777
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
56 services22 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
42 services21 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
26 services19 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150008
Location4321 Fir StreetEast Chicago, IN 46312 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 3

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

MRS. GABRIELA SWIIS FNP-C
Nurse Practitioner (Family)
10110 DONALD S POWERS DR STE 202
MUNSTER, IN 46321
Lake County (219) 922-8222
MR. TAYLOR DRAKE COLEMAN I MD
Surgery
10110 DONALD S POWERS DR STE 202
MUNSTER, IN 46321
Lake County (219) 922-8222
IMRAN AHMAD MD
Colon & Rectal Surgery
10110 DONALD S POWERS DR STE 202
MUNSTER, IN 46321
Lake County (219) 922-8222

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 Mccarter's NPI number?

The NPI number for Shannon Mccarter is 1962079525. It was assigned to this individual provider in the NPPES registry on June 10, 2021. The provider is also known as Shannon R Fields, Arroyo.

Where is Shannon Mccarter located?

Shannon Mccarter practices at 10110 Donald S Powers Dr Ste 202, Munster, IN 46321. The listed phone number is (219) 922-8222.

What is Shannon Mccarter's specialty?

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

Is Shannon Mccarter enrolled in Medicare?

Yes. Shannon Mccarter 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 Mccarter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Shannon Mccarter 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 Mccarter affiliated with any hospitals?

According to CMS data, Shannon Mccarter is affiliated with St Catherine Hospital Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Mccarter was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.