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SHANNON L ROACH NP
NPI 1962125336
Nurse Practitioner - Family in South Bend, IN

Active since September 21, 2022PECOS EnrolledAccepts Medicare Assignment
6301 UNIVERSITY COMMONS STE 310, SOUTH BEND, IN 46635(574) 299-2450 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon L Roach Np NPPES

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

SHANNON L ROACH NP (NPI 1962125336) is an individual family provider in South Bend, Indiana, licensed in Indiana (28268382A) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2018).

NPPES Registry Identity

NPI1962125336
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON L ROACHCredential: NP
Location Address6301 UNIVERSITY COMMONS STE 310South Bend, IN 46635-1479
Mailing Address6301 University Commons Ste 310South Bend, IN 46635-1479
Phone(574) 299-2450
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2018
Enumeration DateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
✔ NPI 1962125336 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 · 28268382A
6301 UNIVERSITY COMMONS STE 310, South Bend, IN 46635
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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 L Roach Np 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 ID7911383609
PECOS Enrollment IDI20221004001111
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 3

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.
27 services22 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.
14 services11 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46635 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 2

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

SARA A BAUMGARTNER MD
Obstetrics & Gynecology
6301 UNIVERSITY COMMONS STE 310
SOUTH BEND, IN 46635
St. Joseph County (574) 232-1471
OLIVIA PAPAI PRICE PA-C
Physician Assistant
6301 UNIVERSITY COMMONS STE 310
SOUTH BEND, IN 46635
St. Joseph County (147) 157-4232

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 Roach's NPI number?

The NPI number for Shannon Roach is 1962125336. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Shannon Roach located?

Shannon Roach practices at 6301 University Commons Ste 310, South Bend, IN 46635. The listed phone number is (574) 299-2450.

What is Shannon Roach's specialty?

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

Is Shannon Roach enrolled in Medicare?

Yes. Shannon Roach 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 Roach accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shannon Roach 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.

When was this NPI record last updated?

The NPPES record for Shannon Roach was last updated on September 21, 2022. 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.