Individual provider Active NPI

Shannon Leigh Duncan, DNP

  • Women's Health Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1508418633
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
78857 Issued in KS
Practice address
1300 E Centennial Dr
Pittsburg, KS 66762-6650
Phone
(620) 230-0044
Fax
(620) 230-0543
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 78857 KS Primary

Addresses

Primary practice location

1300 E Centennial Dr
Pittsburg, KS 66762-6650

Mailing address

1 Mt Carmel Way
Pittsburg, KS 66762-7587
Phone (620) 230-0044

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL shannon.duncan@ascension.org Direct

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
I20190807000158 KS Practitioner - Nurse Practitioner 8820325343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Pittsburg LLCGroup PAC ID 7618418088, 45 clinicians

Practice addresses (Care Compare)

1 Mt Carmel Way
Pittsburg, KS 66762-7587

1 Mt Carmel Way FL
Pittsburg, KS 66762-7587
Phone (620) 231-6100

1300 E Centennial Dr
Mercy Clinic Pittsburg
Pittsburg, KS 66762-6650
Phone (602) 232-5705

2711 S Rouse St B
Mercy Clinic Pittsburg Pediatrics
Pittsburg, KS 66762-6621
Phone (620) 230-0044

Hospital & facility affiliations

  • Mercy Hospital Pittsburg, Inc Hospital, Pittsburg, KS, CCN 170006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Laboratory Associates, Inc. Current Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. CurrentSince Jul 29, 2019 Accepting new patients
Mercy Clinic Pittsburg LLC CurrentSince Jul 23, 2024 Accepting new patients
Regional Medical Laboratory, Inc Current Accepting new patients

Locations

1300 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 230-0044

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

1300 E Centennial Dr
Ste 20
Pittsburg, KS 66762

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1508418633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MT CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667627587",
            "telephone_number": "620-230-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626650",
            "telephone_number": "620-230-0044",
            "fax_number": "620-230-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "78857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shannon.duncan@ascension.org",
            "affiliation": "N",
            "endpointDescription": "Company e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Mt Carmel Way",
            "city": "Pittsburg",
            "state": "KS",
            "country_code": "US",
            "postal_code": "667627587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.