Shannon Michelle Eaton, MSN, FPMHNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10027243 Issued in OR

Practice address

1915 NE Stucki Ave Ste 400
Hillsboro, OR 97006-6938

Phone

(971) 350-3080

Fax

(206) 501-4729

NPI assigned

May 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, OR2 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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McArthur Gruff and Associates LLCGroup PAC ID 9032537329, 17 clinicians

Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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

• McArthur Gruff & Associates LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hillsboro, OR
  • NPI 1952860066
  Medicare reassignment Care Compare group NPD
• Mindful Therapy Group PC

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Zunge and Noxby LLC

  • Psychiatry Physician
  • Lake Oswego, OR
  • NPI 1184449431
  NPD Authorized official
• Wilson, Leigh & Associates LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oro Valley, AZ
  • NPI 1811512387
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1124519822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W REPUBLIC RD STE 108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075816",
            "telephone_number": "425-678-3582",
            "fax_number": "417-356-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 400",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066938",
            "telephone_number": "971-350-3080",
            "fax_number": "206-501-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "credential": "MSN, FPMHNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "138149",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61106759",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2018024368",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10027243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420056428",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Dyer
• Ear, Nose and Throat Associates, LLC.
• Eric Earp
• Thomas Lee Eash, PTA
• East Wind Dental Care
• Victoria May Eaton, OTD, OTR/L
• Fahrueldin Ebed, DPT
• Lidia Rosa Echeverria-Garcia, CCC-SLP
• Alfonso Echeverria, MA
• Kara Eck

• Psychiatric/Mental Health Nurse Practitioner in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.