Individual provider Active NPI

Shannon M Wood, APRN

  • Family Nurse Practitioner
  • Shawnee, OK
National Provider Identifier
1912653221
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
207106 Issued in OK
Practice address
2400 N Harrison St
Shawnee, OK 74804-3133
Phone
(405) 395-4441
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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 207106 OK Primary

Addresses

Primary practice location

2400 N Harrison St
Shawnee, OK 74804-3133

Mailing address

2400 N Harrison St
Shawnee, OK 74804-3133
Phone (405) 395-4441

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
I20220413000493 OK Practitioner - Nurse Practitioner 4587050802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Simpson and McCroryGroup PAC ID 9436566007, 3 clinicians

Practice addresses (Care Compare)

2400 N Harrison St
Shawnee, OK 74804-3133
Phone (405) 395-4441

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207106OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson and McCrory CurrentSince Mar 28, 2022 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2400 N Harrison St
Shawnee, OK 74804
Phone (405) 395-4441

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 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": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1912653221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043133",
            "telephone_number": "405-395-4441",
            "fax_number": "405-438-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043133",
            "telephone_number": "405-395-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "207106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.