Shannon L Loeck, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

04-43063 Issued in KS

Practice address

1001 N Minneapolis St
Wichita, KS 67214-3127

Phone

(316) 293-2647

Fax

(855) 476-0305

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America - Kansas LLCGroup PAC ID 3971814286, 59 clinicians

Ascension Via Christi Hospitals Wichita IncGroup PAC ID 5799696944, 123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

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.

• Ascension Via Christi Hospitals Wichita Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1871589333
  Medicare reassignment Care Compare group NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1659768125
  Medicare reassignment Care Compare group NPD
• Hillsboro Hospital LLC

  • Emergency Care Clinic/Center
  • Hillsboro, KS
  • NPI 1710525985
  Medicare reassignment NPD
• Neuropsychology Services of Kansas

  • Clinical Neuropsychologist
  • Wichita, KS
  • NPI 1295368157
  Medicare reassignment NPD
• University of Kansas School of Medicine Wichita Medical Practice Assoc

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1639143712

  Psychiatry

  Medicare reassignment NPD
• Ascension Via Christi Hospitals Wichita Inc.

  • Land Ambulance
  • Wichita, KS
  • NPI 1548097165
  NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wellington, KS
  • NPI 1932704608
  NPD
• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  NPD (past)

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

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1356478762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N MINNEAPOLIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143127",
            "telephone_number": "316-293-2647",
            "fax_number": "855-476-0305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Kansas St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143124",
            "country_code": "US",
            "telephone_number": "316-293-2665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 E Harry St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672183713",
            "country_code": "US",
            "telephone_number": "316-293-2611",
            "fax_number": "316-293-1882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 N Saint Francis Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143821",
            "country_code": "US",
            "telephone_number": "316-293-2611",
            "fax_number": "316-293-1882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8533 E 32nd St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262611",
            "country_code": "US",
            "telephone_number": "316-293-3850",
            "fax_number": "855-517-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOECK",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "94-08890",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000164",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-43063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004650390002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette C Lochridge-Ecker, PA
• Mackenzie Lock, CRNA
• Sasha Nicole Lockaby, LMSW, LMAC
• Jacquelyn Nicole Locke, M.S. LMFT
• Kim R Lockwood, OT
• Roberta L Loeffler, MD
• Diane Loehr, EFDA
• Joan Loehr, D.D.S.
• Phoebe Loehr
• William C Loewen, M.D.

• Psychiatry Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.