MRS. SHANNON R BODIFORD FNP-BC
NPI 1972037000
Nurse Practitioner - Family in Knoxville, TN

Q: What is Shannon Bodiford's NPI number?

The NPI number for Shannon Bodiford is 1972037000. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Q: What is Shannon Bodiford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Bodiford was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 14, 2017PECOS Enrolled

2018 WESTERN AVE, KNOXVILLE, TN 37921(865) 544-0406(865) 544-0480 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2021, Apr 12, 2019, Apr 14, 2017 (3 updates tracked since 2017).

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About Mrs. Shannon R Bodiford Fnp-bc NPPES

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

MRS. SHANNON R BODIFORD FNP-BC (NPI 1972037000) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (21117) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972037000

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHANNON R BODIFORDCredential: FNP-BC

Location Address2018 WESTERN AVEKnoxville, TN 37921-5718

Mailing Address1923 Sulphur Springs RdMorristown, TN 37813-5654 · (423) 317-9344

Phone(865) 544-0406

Fax(865) 544-0480

Sole ProprietorNo

Enumeration DateApril 14, 2017

Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2021

✔ NPI 1972037000 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 TN · 21117

2018 WESTERN AVE, Knoxville, TN 37921

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon R Bodiford Fnp-bc 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

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

High Risk Obstetrical Consultants, PLLC

1.8 mi

Maternal & Fetal Medicine

1930 ALCOA HWY STE A435
Knoxville, TN 37920

Reassigned Medicare billing, Tennessee enrollment
21 clinicians in this Medicare group

NPI 1770724676 (865) 263-2400

Cherokee Health Systems

34 mi

Federally Qualified Health Center (FQHC)

6350 W ANDREW JOHNSON HWY
Talbott, TN 37877

Reassigned Medicare billing, Tennessee enrollment
257 clinicians in this Medicare group

NPI 1134128820 (423) 587-7337

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 37921 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

KIMBERLY EVANS

Licensed Practical Nurse