Shannon Witt, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1111715 Issued in KY

Practice address

2708 Paoli Pike Ste I
New Albany, IN 47150-5100

Phone

(812) 725-7894

Fax

(812) 590-3168

NPI assigned

Jul 9, 2015

Last updated

May 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Wilson Former name

Medicare fee-for-service enrollment

Enrolled in IN, FL2 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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074

  IN

  Medicare reassignment Care Compare group NPD
• Lifespring, Inc

  dba Southern Indiana Mental Health and Guidance Center of ECI

  • Community/Behavioral Health Agency
  • Jeffersonville, IN
  • NPI 1851489942
  Medicare reassignment NPD
• Florida Community Health Partners

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1619711363
  Medicare reassignment NPD
• Midwest Post Acute Care Aco PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1457926537

  IN

  Medicare reassignment NPD
• Great Health Medical FL PA

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1093589442
  Medicare reassignment
• Serenity Primary Care & Recovery LLC

  • Addiction Medicine (Family Medicine) Physician
  • New Albany, IN
  • NPI 1134690258
  Authorized official Same address or phone
• Lifespring, Inc

  dba LifeSpring Health Systems

  • Community/Behavioral Health Agency
  • Dale, IN
  • NPI 1639029283
  NPD
• Florida Community Health Partners

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1720826035
  NPD
• Home Medical Visits, Inc

  • Clinic/Center
  • Holiday, FL
  • NPI 1639121080

  Primary Care

  NPD (past)

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1841673753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 CATALPA DR",
            "city": "GEORGETOWN",
            "state": "IN",
            "postal_code": "471228785",
            "telephone_number": "812-913-3818",
            "fax_number": "812-590-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 PAOLI PIKE STE I",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505100",
            "telephone_number": "812-725-7894",
            "fax_number": "812-590-3168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4209 Outer Loop",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402193850",
            "country_code": "US",
            "telephone_number": "812-725-7894",
            "fax_number": "812-590-3168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITT",
        "first_name": "SHANNON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "1111715",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "1111715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WILSON",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann B Winnecke, L.C.S.W.
• Meghan Winrich
• Amanda Wiseman
• Selena Wisman, LMFT
• Witham Memorial Hospital (The Villages at Historic Silvercrest)
• Wittum Cardiology Services, LLC
• Roger Eric Wolfe, P.T.
• Kibibi Lateef Wood-Montgomery, CSW
• Danielle Hammond Woods, RN
• Makayla Woods, PHARMD, RPH

• Primary Care Nurse Practitioner in New Albany, IN
• Providers in New Albany, IN by specialty
• Primary Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.