Individual provider Active NPI

Shannon M Schott, APRN

  • Gerontology Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1083204069
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
252262 Issued in AZ
Practice address
261 N Roosevelt Ave
Chandler, AZ 85226-2616
Phone
(480) 677-4663
NPI assigned
Jan 22, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 252262 AZ Primary

Addresses

Primary practice location

261 N Roosevelt Ave
Chandler, AZ 85226-2616

Mailing address

329 E Payton St
San Tan Valley, AZ 85140-5803
Phone (480) 274-7381

Other practice location 1

4041 S McClintock Dr
Tempe, AZ 85282-5879
Phone (520) 233-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210205001332 AZ Practitioner - Nurse Practitioner 6901210731 Reassigns benefits to 4 organizations
I20220926003041 NH Practitioner - Nurse Practitioner 6901210731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Tempe, AZ 85281
Phone (855) 212-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Feb 1, 2021 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Good Health Medical, PLLC CurrentSince Feb 1, 2021 Accepting new patients
Scottsdale Physicians Group PLC Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
United Telehealth Corp Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Monogram Health Professional Services PC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Adobe Care and Wellness Nevada LLC PastSince Jul 1, 2022 Accepting new patients

Locations

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

1225 W Washington St
Ste 120
Tempe, AZ 85288
Phone (602) 536-6304

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

Interoperability endpoints

  • Direct secure messaging: shannon.schott.1@22854.direct.athenahealth.com
  • Direct secure messaging: shannon.schott.p1@direct.alegiscare.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1083204069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E PAYTON ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851405803",
            "telephone_number": "480-274-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262616",
            "telephone_number": "480-677-4663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4041 S McClintock Dr",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852825879",
            "country_code": "US",
            "telephone_number": "520-233-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "252262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.