Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043190655 Individual Practitioner Male Practitioner

Erick Allen Shannon , FNP-C

Nurse Practitioner • Carbondale, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Erick Shannon, FNP-C is a certified Nurse Practitioner practicing in Carbondale, IL. With approximately 1 years of clinical experience since completing medical education in 2025, Erick Shannon delivers high-quality medical care to the local community at 405 W JACKSON ST.

Erick Shannon is affiliated with Southern Illinois Medical Services Nfp and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

405 W Jackson St

Carbondale, IL 629011467

Telephone 6185490721
Fax 6184570469
Associated Practice Facility / Clinic
🏢 Brigham Anesthesia South Llc Facility NPI 1699769232

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Carbondale, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -7.5 yrs vs City Avg
City Avg: 8.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
64 Specialists

Practicing in Carbondale, IL (4929 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shannon (1 Years) 1 Yrs
Carbondale Specialty Average (8.5 Years) 8.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209034228

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Southern Illinois Medical Services Nfp

405 W Jackson St, Carbondale, IL 629011462

Phone: 6185490721

Secondary Practice Locations

2 S Hospital Dr

Murphysboro, IL 629663333

Phone: 6186843156

100 Dr Warren Tuttle Dr

Harrisburg, IL 629462718

Phone: 6182530350

201 S 14th St

Herrin, IL 629483631

Phone: 6189422171

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lukas Ward , PA

Physician Assistant

NPI 1003466269

Physician Assistant

Dr. Rupal Parmar , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003846247

Doctor of Medicine (M.D.)

Dr. Scott Cooper , MD

Emergency Medicine

NPI 1003999228

Doctor of Medicine (M.D.)

NPI 1013112283

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Britney Arnold , PA-C

Physician Assistant

NPI 1013342039

Physician Assistant (Certified)

Bradley Brush , ATC, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1013985613

Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 29, 2025

Registered at 405 W JACKSON ST, CARBONDALE, IL 629011467 (Tel: 6185490721)

📍
Updated Business Mailing Address December 29, 2025

Registered at 405 W JACKSON ST, CARBONDALE, IL 629011462 (Tel: 6185490721)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2025

Nurse Practitioner (License #209034228 in IL)

👤
Provider Name / Credentials Updated September 11, 2025

Recorded as ERICK SHANNON, FNP-C

NPI Profile Active September 04, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2025

Registered at 2746 VIRGINIA AVE, LOUISVILLE, KY 402113417 (Tel: 5028157040)

📍
Updated Business Mailing Address September 04, 2025

Registered at 2746 VIRGINIA AVE, LOUISVILLE, KY 402113417 (Tel: 5028157040)

👤
Provider Name / Credentials Updated September 04, 2025

Recorded as ERICK SHANNON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2025

Nurse Practitioner (License #4046188 in KY)

🟢
Initial NPI Registration & Enumeration September 04, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043190655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2025
Last Update: March 06, 2026
Sole Proprietor: No

Mailing Address

405 W Jackson St

Carbondale, IL 629011462

Phone: 6185490721

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.