Shannon Bruey, - Medicare Nurse Practitioner in Edmond, OK

  1. Home
  2. Nurse Practitioner
  3. OK
  4. Edmond
Shannon Bruey, is a medicare enrolled "Nurse Practitioner" in Edmond, Oklahoma. Her current practice location is 1520 S Bryant Ave, Edmond, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 984-1115.

Shannon Bruey is licensed to practice in Oklahoma (license number R0096735) 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 1265985717.

Contact Information

Shannon Bruey,
1520 S Bryant Ave,
Edmond, OK 73013-6028
(580) 984-1115
Not Available

Map and Direction




Provider's Profile

Full NameShannon Bruey
GenderFemale
SpecialityNurse Practitioner
Location1520 S Bryant Ave, Edmond, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265985717
  • Provider Enumeration Date: 08/02/2016
  • Last Update Date: 09/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062780844
  • Enrollment ID: I20170620001731

Medical Identifiers

Medical identifiers for Shannon Bruey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265985717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R0096735 (Oklahoma)Primary
163W00000XRegistered Nurse 96735 (Oklahoma)Secondary

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. Shannon Bruey allows following entities to bill medicare on her behalf.
Entity NameWilliams Medical Group Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346608809
PECOS PAC ID: 3375832157
Enrollment ID: O20181228001300
Entity NameAffinity Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710645478
PECOS PAC ID: 7113318742
Enrollment ID: O20211215001580

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. Shannon Bruey 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 AddressPractice Location Address
Shannon Bruey,
1520 S Bryant Ave,
Edmond, OK 73013-6028

Ph: (580) 984-1115		Shannon Bruey,
1520 S Bryant Ave,
Edmond, OK 73013-6028

Ph: (580) 984-1115

Reviews and Comments


Nurse Practitioner Nurses in Edmond, OK

Michelle Kathleen Merrell, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3800 S. Blvd,, Edmond, OK 73013
Phone: 405-905-9888    
Catherine Marie Kindt, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2177 Venezia Cir, Edmond, OK 73034
Phone: 580-695-1605    
Breanne Kali Flusche,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 N Bryant Ave Ste 120, Edmond, OK 73034
Phone: 405-832-6881    Fax: 405-578-9818
Karyl S. Knopps, A.R.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2820 N Kelly Ave, Ste 200, Edmond, OK 73003
Phone: 405-726-8000    Fax: 405-726-8101
Lisa Louise Spence, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1208 W 15th St, Edmond, OK 73013
Phone: 405-340-2100    Fax: 405-340-1184
Elizabeth Stanfield Carradini, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1520 S Bryant Ave, Edmond, OK 73013
Phone: 405-348-7982    
Kelli Rebecca Lawrence,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 N Bryant Ave Ste 120, Edmond, OK 73034
Phone: 405-832-6881    Fax: 833-941-1685

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.