Mrs Shannon M Nisley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Eaton, Colorado. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
271 S Elm Ave, Eaton, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 438-4000.
Mrs Shannon M Nisley is licensed to practice in Colorado (license number APN.0997413-NP) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366190837.
Provider's Profile
Full Name | Mrs Shannon M Nisley |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 271 S Elm Ave, Eaton, Colorado |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Shannon M Nisley graduated from nursing school in 2021
NPI Data:
- NPI Number: 1366190837
- Provider Enumeration Date: 03/14/2022
- Last Update Date: 04/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042607723
- Enrollment ID: I20220427002170
Medical Identifiers
Medical identifiers for Mrs Shannon M Nisley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366190837 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APN.0997413-NP (Colorado) | 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 M Nisley allows following entities to bill medicare on her behalf.
Entity Name | Eaton Health Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538845557 PECOS PAC ID: 0749635720 Enrollment ID: O20231011001178 |
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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 M Nisley 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 M Nisley, FNP 271 S Elm Ave, Eaton, CO 80615-8264 Ph: (970) 438-4000 | Mrs Shannon M Nisley, FNP 271 S Elm Ave, Eaton, CO 80615-8264 Ph: (970) 438-4000 |
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