Shannon Korson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704292194 Issued in MI

Practice address

3200 S Center Hwy
Suttons Bay, MI 49682-9503

Phone

(231) 590-3437

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Traverse City Ophthalmology PLLC 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skorson@tce.intellechartdirect.net

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.

• Traverse City Ophthalmology PLLC

  • Ophthalmology Physician
  • Traverse City, MI
  • NPI 1225616279

  MI

  Medicare reassignment Care Compare group NPD
• Chronic Care Management LLC

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1730506726

  MI, Nurse Practitioner

  Medicare reassignment NPD
• Traverse City Eye Consultants P C

  • Ophthalmology Physician
  • Traverse City, MI
  • NPI 1316009368
  NPD

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

• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1437816006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S CENTER HWY",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829503",
            "telephone_number": "231-590-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S CENTER HWY",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829503",
            "telephone_number": "231-590-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORSON",
        "first_name": "SHANNON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704292194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Kaufman, LMSW
• Koleen Rae Kerlin-Spigarelli, FNP
• Kelly Miranda Kieft, LLMFT
• Ryan Klumpp
• Andrea L Knoke, PA-C
• Thomas G Lammy, MD
• Laura Dale Laubhan, PT
• Leelanau Family Practice PC
• Leelanau Foot and Ankle Center, P.C.
• Leelanau Opco, LLC

• All providers in Suttons Bay, MI
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.