Shannon Burnette, RN,MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

T184569 Issued in IA

Practice address

4409 Maine St
Quincy, IL 62305-5849

Phone

(217) 223-0423

Fax

(217) 223-0461

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD, VA, IA4 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 4

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Med Management Associates of Iowa PCGroup PAC ID 4183976921, 3 clinicians

Med MGT Associates of Virginia LLCGroup PAC ID 6406190826, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Quality

75.8

Improvement activities

40

Cost

77.01

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.66

Improvement activities

40

Cost

82.97

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

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 and National Provider Directory roles.

• Med Management Associates of Iowa PC

  • Geriatric Psychiatry Physician
  • Des Moines, IA
  • NPI 1871084384
  Medicare reassignment Care Compare group NPD
• Med MGT Associates of Virginia LLC

  • Psychiatry Physician
  • Chesapeake, VA
  • NPI 1104307834
  Medicare reassignment Care Compare group NPD
• Della Behavioral Health Services

  • Psychologist
  • Columbia, MD
  • NPI 1750635207

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1932293362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 KENTUCKY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014257",
            "telephone_number": "217-223-0423",
            "fax_number": "217-223-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055849",
            "telephone_number": "217-223-0423",
            "fax_number": "217-223-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "RN,MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041305868",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "T184569",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "2005010932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffalo Prairie Dental of Quincy, PLLC
• Buffalo Prairie Dental Surgery and Sedation Center PLLC
• Benjamin Bukey
• Kristie Kathryn Bunch, OTR
• Peggy Louise Burchard-Ballard, MA
• Donald A Busbey, III
• Derek Buss, PTA
• Emily Buswell
• Thomas Joseph Butler, D.C.
• Angela Byerly

• Family Nurse Practitioner in Quincy, IL
• Providers in Quincy, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.