Individual provider Active NPI

Shannon Lyn Pierce, APRN

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1649039652
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
205387 Issued in AK
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

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240725002489 CA Practitioner - Nurse Practitioner 6901342922
I20260609001691 AK Practitioner - Nurse Practitioner 6901342922 Reassigns benefits to 1 organization

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
Seward Community Health Center IncGroup PAC ID 6800025768, 13 clinicians

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 Hospital, Seward, AK, CCN 021302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205387AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Jul 1, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Jul 1, 2024 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.

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": "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

Verify at the official NPI Registry.