SHANNAN SOUZA APRN LLC
NPI 1992421622
Family Medicine in Pottsville, AR
About Shannan Souza Aprn Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNAN SOUZA APRN LLC (NPI 1992421622) is a healthcare organization registered as a family medicine in Pottsville, Arkansas and active in the NPI registry since October 2022. The organization lists Shannan Souza, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannan Souza Aprn Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shannan Souza Aprn LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shannan Souza Aprn LLC's NPI number?
The NPI number for Shannan Souza Aprn LLC is 1992421622. It was assigned to this organization in the NPPES registry on October 14, 2022.
Where is Shannan Souza Aprn LLC located?
Shannan Souza Aprn LLC is located at 5150A Sr 247, Pottsville, AR 72858. The listed phone number is (479) 567-5680.
What is Shannan Souza Aprn LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shannan Souza Aprn LLC enrolled in Medicare?
Yes. Shannan Souza Aprn LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shannan Souza Aprn LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shannan Souza Aprn LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shannan Souza Aprn LLC was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shannan Souza Aprn Llc · NPI 1992421622
Family Medicine organization in Pottsville, Arkansas. Organization record, active in the CMS NPPES registry since October 14, 2022.
## Identity
- **NPI:** 1992421622 (Entity type: Organization)
- **Enumerated:** October 14, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shannan Souza, OWNER
## Practice location
- **Address:** 5150A SR 247, Pottsville, AR 72858-6002
- **Phone:** (479) 567-5680 · **Fax:** (479) 567-5679
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1992421622) · Data from the CMS NPPES public registry.