Individual provider Active NPI

Shannon L Bishop, FNP, RN

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1679707293
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201407537 Issued in OR
Practice address
6910 SE Milwaukie Ave
Portland, OR 97202-5717
Phone
(503) 684-8252
NPI assigned
May 11, 2009
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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 201407537 OR Primary

Addresses

Primary practice location

6910 SE Milwaukie Ave
Portland, OR 97202-5717

Mailing address

PO Box 37659
Belfast, ME 04915-1218
Phone (503) 684-8252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240724000848 OR Practitioner - Nurse Practitioner 9537290978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Johns Hopkins University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

6910 SE Milwaukie Ave
Portland, OR 97202-5717
Phone (864) 664-3984

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Networks on Demand, LLC CurrentSince Jul 9, 2024 Accepting new patients
Zoomcare Urgent Care LLC PastSince Aug 6, 2023 Accepting new patients
Zoomcare PC Past Accepting new patients

Locations

2711 NE Town Center Dr
Ste 220
Beaverton, OR 97006

10221 SE Sunnyside Rd
Clackamas, OR 97015

2490 Willamette St
Ste 4
Eugene, OR 97405
Phone (541) 746-7671

17155 SE Sunnyside Rd
Ste 160
Happy Valley, OR 97015
Phone (503) 908-5634

2711 NE Town Center Dr
Hillsboro, OR 97006

2711 NE Town Center Dr
Ste 2
Hillsboro, OR 97006

1400 NE Alberta St
Portland, OR 97211

1455 NW Irving St
Ste 600
Portland, OR 97209
Phone (702) 388-4512

3060 SE Hawthorne Blvd
Portland, OR 97214

3130 SE Division St
Portland, OR 97202
Phone (503) 515-2877

3218 NE Broadway St
Portland, OR 97232

606 NE Grand Ave
Portland, OR 97232

6910 SE Milwaukie Ave
Portland, OR 97202

8157 N Lombard St
Portland, OR 97203

900 SW 5th Ave
Portland, OR 97204
Phone (503) 774-2107

2990 Commercial St SE
Ste 160
Salem, OR 97302

7421 SW Bridgeport Rd
Ste 220
Tigard, OR 97224
Phone (503) 449-8964

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shannon.bishop.1@30646.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1679707293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37659",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151218",
            "telephone_number": "503-684-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025717",
            "telephone_number": "503-684-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201407537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.