Chelsea Shannon, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

27484 Issued in TN

Practice address

1720 E Reelfoot Ave
Union City, TN 38261-6047

Phone

(731) 885-8484

NPI assigned

Apr 20, 2020

Last updated

Jul 6, 2023By the provider in NPPES

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 TN

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

Tristar Joint Replacement Institute LLCGroup PAC ID 1658693015, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chelsea.shannon@hca1.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JCCDCD

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.

• Tristar Joint Replacement Institute, LLC

  • Orthopaedic Surgery Physician
  • Nashville, TN
  • NPI 1164834057
  Medicare reassignment Care Compare group NPD
• Premier Primary Care, PLLC

  • Family Medicine Physician
  • Union City, TN
  • NPI 1922403286
  Medicare reassignment NPD
• Premier Primary Care, PLLC

  dba Premier Primary Care

  • Rural Health Clinic/Center
  • Union City, TN
  • NPI 1629843685
  NPD

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

• Baptist Memorial Hospital- Union City Inc

  • General Acute Care Hospital
  • Union City, TN
  • NPI 1114981768
  Care Compare affiliation

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1447870449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616047",
            "telephone_number": "731-885-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616047",
            "telephone_number": "731-885-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1722 E Reelfoot Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382616050",
            "country_code": "US",
            "telephone_number": "615-342-0038",
            "fax_number": "615-329-4469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "CHELSEA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Russell, CFNP
• Mylinda Orene Russell, SR. PSYCH. EXAMINER
• Kimberly Russom, NP
• Karyn Satterfield, MPT
• Grover Ferdinand Schleifer III, MD
• Philip A Sherman, M.D.
• Tyler Sherwood, PA-C
• Michelle Le Short, LMT, MMP, BCTMB
• Travis Dale Shumate, DDS
• Nickolas J Simpson, PA-C

• Family Nurse Practitioner in Union City, TN
• Providers in Union City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.