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SHANNON LEIGH FASIG FNP
NPI 1972056869
Nurse Practitioner - Family in Springfield, IL

Active since July 27, 2016PECOS EnrolledAccepts Medicare Assignment
3132 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704(217) 862-0800(217) 862-0871 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shannon Leigh Fasig Fnp NPPES

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

SHANNON LEIGH FASIG FNP (NPI 1972056869) is an individual family provider in Springfield, Illinois, licensed in Illinois (209014497) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972056869
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON LEIGH FASIGCredential: FNP
Location Address3132 OLD JACKSONVILLE RDSpringfield, IL 62704-7400
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541 · Fax (217) 862-0871
Phone(217) 862-0800
Fax(217) 862-0871
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 27, 2016
Last NPPES UpdateFebruary 3, 2023
NPPES CertifiedFebruary 3, 2023
✔ NPI 1972056869 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 IL · 209014497
3132 OLD JACKSONVILLE RD, Springfield, IL 62704
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Other Names 1

Former Name (1)Shannon Leigh Roles

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 Leigh Fasig Fnp 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 ID1850676479
PECOS Enrollment IDI20170322002314
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 2

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
119 services100 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.
25 services23 patients

Hospital Affiliations CMS Care Compare

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

ALISSA DANIELLE SMITH NP
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
MELANIE R REYNOLDS FNP
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0730
MRS. SHARON MARIE HOWARTH OTRLCHT
Occupational Therapist (Hand)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400
PEGGY JONES NP
Nurse Practitioner
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0871
LAVANYA KOLLURI M.D.
Internal Medicine
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0062
MS. MELISSA S LINDERMAN OTR
Occupational Therapist
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400
MEMORIAL PHYSICIAN SERVICES
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
DR. REBECCA D ANDERSON PHD
Psychologist (Clinical)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400

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 Fasig's NPI number?

The NPI number for Shannon Fasig is 1972056869. It was assigned to this individual provider in the NPPES registry on July 27, 2016. The provider is also known as Shannon Leigh Roles.

Where is Shannon Fasig located?

Shannon Fasig practices at 3132 Old Jacksonville Rd, Springfield, IL 62704. The listed phone number is (217) 862-0800.

What is Shannon Fasig's specialty?

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

Is Shannon Fasig enrolled in Medicare?

Yes. Shannon Fasig 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.

Is Shannon Fasig affiliated with any hospitals?

According to CMS data, Shannon Fasig is affiliated with St Johns Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Fasig was last updated on February 3, 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.