Shannon Cherie Nanaeto, MS, APRN-CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

211952 Issued in OK

Practice address

1755 N Highway 66 Ste G
Catoosa, OK 74015-2717

Phone

(918) 260-7631

NPI assigned

Aug 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kavanah Medical LLCGroup PAC ID 9032544226, 7 clinicians

Prophylaxis Healthcare LLCGroup PAC ID 3072784289, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.nanaetofnp.p10@direct.nextcare.nextgenshare.com
• Direct secure messaging: shannon.nanaeto.1@20421.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/20421/brand/1/csg/1/fhir/r4
• Direct secure messaging: shannon.nanaetofnp.p8@direct.nextcare.nextgenshare.com

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.

• Kavanah Medical LLC

  dba Rx Health & Wellness

  • Family Medicine Physician
  • Owasso, OK
  • NPI 1548807993
  Medicare reassignment Care Compare group NPD
• Prophylaxis Healthcare LLC

  dba Axis HealthCare

  • Multi-Specialty Clinic/Center
  • Bixby, OK
  • NPI 1538453923
  Medicare reassignment Care Compare group
• Medical Resource Management, LLC

  dba Access Medical Center

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1104056365
  Medicare reassignment NPD
• Tulsa Emergency Medical Center Inc

  dba Access Medical Center

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1063479087
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OK

  Medicare reassignment NPD

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1730963596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 TRIBUTE TRL",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743375000",
            "telephone_number": "918-260-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N HIGHWAY 66 STE G",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740152717",
            "telephone_number": "918-260-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAETO",
        "first_name": "SHANNON",
        "middle_name": "CHERIE",
        "credential": "MS, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "211952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole R Monroe
• Ayngi Montgomery, M.ED M.DIV LPC NCC
• Rafael Keith Morales, DMD
• Movement Cube LLC (Movement Cube Chiropractic and Rehab)
• Jenna Gabriela Mullins
• Andrew Naylor, DMD
• Danielle Nees
• New Day Clinic of Catoosa, PLLC
• Nutrition Core, LLC
• Daniel F O'Connor, DPT

• Primary Care Nurse Practitioner in Catoosa, OK
• Providers in Catoosa, OK by specialty
• Primary Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; 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.

Verify at the official NPI Registry.