Individual provider Active NPI

Shannon Michael, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1720979131
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224646 Issued in OK
Practice address
3916 S Sunnylane Rd
Oklahoma City, OK 73115-3656
Phone
(405) 677-3378
NPI assigned
Jul 14, 2025
Last updated
May 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 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 224646 OK Primary

Addresses

Primary practice location

3916 S Sunnylane Rd
Oklahoma City, OK 73115-3656

Mailing address

3916 S Sunnylane Rd
Oklahoma City, OK 73115-3656
Phone (405) 677-3378

Other practice location 1

800 W 18th St Ste 140
Edmond, OK 73013-3759
Phone (405) 696-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250918004805 OK Practitioner - Nurse Practitioner 0547764847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peterson Healthcare LLCGroup PAC ID 6103251988, 3 clinicians

Practice addresses (Care Compare)

3916 S Sunnylane Rd
Del City, OK 73115-3656
Phone (405) 677-3378

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Healthcare LLC CurrentSince Sep 1, 2025 Accepting new patients
Np2Go CurrentSince Jul 22, 2025 Accepting new patients

Locations

217 N Harrison Ave
Ste 109
Blanchard, OK 73010
Phone (405) 888-8483

800 W 18th St
Ste 140
Edmond, OK 73013
Phone (405) 696-7003

3916 S Sunnylane Rd
Oklahoma City, OK 73115
Phone (405) 677-3378

Organizations & group practices 2

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1720979131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 S SUNNYLANE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731153656",
            "telephone_number": "405-677-3378",
            "fax_number": "405-930-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 S SUNNYLANE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731153656",
            "telephone_number": "405-677-3378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W 18th St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730133759",
            "country_code": "US",
            "telephone_number": "405-696-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "224646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.