Individual provider Active NPI

Shannon L Plummer, MSN-FNP

  • Family Nurse Practitioner
  • Scott City, KS
National Provider Identifier
1306514591
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
00000 Issued in KS
Practice address
201 Albert Ave
Scott City, KS 67871-6117
Phone
(620) 872-2187
Fax
(620) 872-2830
NPI assigned
Sep 1, 2021
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 00000 KS Primary

Addresses

Primary practice location

201 Albert Ave
Scott City, KS 67871-6117

Mailing address

201 Albert Ave
Scott City, KS 67871-6117
Phone (620) 872-2187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210929000377 KS Practitioner - Nurse Practitioner 6406154020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott County HospitalGroup PAC ID 5991773103, shared by 4 NPIs, 16 clinicians

Practice addresses (Care Compare)

201 Albert Ave
Scott City, KS 67871-6117
Phone (620) 872-2187

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00000KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott County Hospital CurrentSince Nov 1, 2025 Accepting new patients
Scott County Hospital CurrentSince Sep 1, 2021 Accepting new patients
County of Logan PastSince Feb 1, 2016 Accepting new patients

Locations

201 Albert Ave
Scott City, KS 67871
Phone (620) 872-2187

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9fb5a2bd-a55d-48eb-b83b-63c1c6fa3826/

Organizations & group practices 3

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 2

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1306514591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALBERT AVE",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678716117",
            "telephone_number": "620-872-2187",
            "fax_number": "620-872-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALBERT AVE",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678716117",
            "telephone_number": "620-872-2187",
            "fax_number": "620-872-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott City, KS

Sources for this page

Verify at the official NPI Registry.