Shannon L Hughes, CRNP
Individual provider Active NPI Family Nurse Practitioner · Altoona, PA
NPI 1497870018 · NPPES record last updated Sep 15, 2015
Key facts
- NPI
- 1497870018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP007267 (PA)
- Practice address
- 300 E Plank Rd
Altoona, PA 16602-4154 - Phone
- (814) 946-3801
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DHHS PHS IHS Phoenix Area
Practice addresses (Care Compare)
401 E Picacho Rd
Winterhaven, CA 92283-9605
401 Picacho Rd
Winterhaven, CA 92283-9605
Phone (760) 572-4137
Hospital & facility affiliations
- Yuma Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250206003291 | TX | Practitioner - Nurse Practitioner | 4183600497 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP007267 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS IHS Phoenix Area | Current |
Accepting new patients |
Locations
401 Picacho Rd
Winterhaven, CA 92283
Phone (760) 572-4100
4100 W 150th St
Cleveland, OH 44135
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP007267 | PA | Yes |
Addresses
Primary practice location
300 E Plank Rd
Altoona, PA 16602-4154
Mailing address
300 E Plank Rd
Altoona, PA 16602-4154
Phone (814) 946-3801
Other providers in Altoona, PA
- Lucille Hritz
- George Hromnak
- Joseph J Huang
- Kendall M Hudy
- Beverly Ann Huff
- Tammy L Hughes
- Michael L Humphrey
- Peggy Sue Hutton
- Michael G Hyde
- Hyperbaric & Wound Care Services, Co
All providers in Altoona, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.