Mrs Shannon Marie Roberts, FNP in Prescott, AZ

Mrs Shannon Marie Roberts, FNP is a medicare enrolled "Nurse Practitioner - Family" in Prescott, Arizona. Her current practice location is 1050 Gail Gardner Way Ste 300, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 717-5232.

Mrs Shannon Marie Roberts is licensed to practice in Arizona (license number 300448) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720854144.

Contact Information

	Mrs Shannon Marie Roberts, FNP
	1050 Gail Gardner Way Ste 300, Prescott, AZ 86305-1640
	(928) 717-5232
	(928) 717-5238

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Marie Roberts
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1050 Gail Gardner Way Ste 300, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720854144
Provider Enumeration Date: 11/27/2023
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6103269394
Enrollment ID: I20240205002063

Medical Identifiers

Medical identifiers for Mrs Shannon Marie Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720854144	NPI	-	NPPES
212822	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	300448 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shannon Marie Roberts allows following entities to bill medicare on her behalf.

Entity Name	Black Canyon Community Health Center Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679723217 PECOS PAC ID: 6406900331 Enrollment ID: O20090812000350

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Marie Roberts is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Shannon Marie Roberts, FNP Po Box 10880, Prescott, AZ 86304-0880 Ph: (602) 406-4786	Mrs Shannon Marie Roberts, FNP 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305-1640 Ph: (928) 717-5232

Reviews and Comments

Nurse Practitioner Nurses in Prescott, AZ

Nancy Concepcion Rosales, APRN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238
Mr. Donald Lee Pierce, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 N Pearl Ln, Prescott, AZ 86301 Phone: 602-526-0628
Mrs. Brenda A. Austin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3165 Stillwater Dr, Prescott, AZ 86305 Phone: 928-277-0875 Fax: 608-716-2838
Mr. Galen Francis Richmond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-5458
Nathan William Farnsworth, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 642 Dameron Dr, Prescott, AZ 86301 Phone: 928-445-5211
Mrs. Susan Elaine Spear, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-8458
Catherine A Kefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5430 Landmark Ln, Prescott, AZ 86301 Phone: 971-262-9600

Mrs Shannon Marie Roberts, FNP - Medicare Nurse Practitioner in Prescott, AZ