NPIMap

Individual provider Active NPI

Shannon Louise Slocum

  • Family Nurse Practitioner
  • Saint Ignace, MI
National Provider Identifier
1295350429
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704324144 Issued in MI
Practice address
1140 N State St
Saint Ignace, MI 49781-1048
Phone
(906) 643-0466
Fax
(906) 643-0414
NPI assigned
Jun 12, 2020
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704324144 MI Primary

Addresses

Primary practice location

1140 N State St
Saint Ignace, MI 49781-1048

Mailing address

1105 Sixth St
Traverse City, MI 49684-2300

Other practice location 1

3860 S Straits Hwy
Indian River, MI 49749-5146
Phone (231) 238-0581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200807000474 MI Practitioner - Nurse Practitioner 7911322961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mackinac Straits Health System IncGroup PAC ID 1456420876, shared by 7 NPIs, 19 clinicians

Practice addresses (Care Compare)

1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-8585

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704324144MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mackinac Straits Health System Inc Current Accepting new patients
Mackinac Straits Health System Inc CurrentSince Jul 1, 2020 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Jul 1, 2020 Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients

Locations

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

Interoperability endpoints

  • Direct secure messaging: shannonslocum@mshs.allscriptsdirect.net
  • Direct secure messaging: sslocum128129@mymichiganhealth.midirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1295350429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N STATE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811048",
            "telephone_number": "906-643-0466",
            "fax_number": "906-643-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 S Straits Hwy",
            "address_purpose": "LOCATION",
            "city": "Indian River",
            "state": "MI",
            "postal_code": "497495146",
            "country_code": "US",
            "telephone_number": "231-238-0581",
            "fax_number": "231-238-0856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOCUM",
        "first_name": "SHANNON",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704324144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Ignace, MI

Sources for this page

Verify at the official NPI Registry.