Active NPI
Shannon Lyn Pierce, APRN
- Family Nurse Practitioner
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 205387
- Practice address
- 12030 Portage Dr
Anchorage, AK 99515-3125 - Phone
- (425) 761-4063
- NPI assigned
- Mar 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 205387 | AK | Primary |
Addresses
Primary practice location
12030 Portage Dr
Anchorage, AK 99515-3125
Mailing address
12030 Portage Dr
Anchorage, AK 99515-3125
Phone (425) 761-4063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 1St Ave
Seward, AK 99664-2895
Phone (907) 224-2273
PO Box
Suite 2895
Seward, AK 99664-2895
Hospital & facility affiliations
- Providence Seward Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205387 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients |
Locations
2251 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 624-0404
2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909
9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640
4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679
212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060
4040 California Ave
Bakersfield, CA 93309
Phone (661) 336-2050
212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937
4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545
32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922
6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377
41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Seward, AK
- NPI 1356772024
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1629442728
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1689963845
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Seward, AK
- NPI 1396858155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1649039652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12030 PORTAGE DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995153125",
"telephone_number": "425-761-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12030 PORTAGE DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995153125",
"telephone_number": "425-761-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "SHANNON",
"middle_name": "LYN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "205387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.