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Active NPI 1164159091 Individual Practitioner Female Practitioner

Cheryl Lynn Shannon , NURSE PRACTITIONER

Nurse Practitioner • Corvallis, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Cheryl Shannon, NURSE PRACTITIONER is a certified Nurse Practitioner practicing in Corvallis, OR. With approximately 4 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2022, Cheryl Shannon delivers high-quality medical care to the local community at 3615 NW SAMARITAN DR STE 201.

Cheryl Shannon is affiliated with South Sound Inpatient Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3615 Nw Samaritan Dr Ste 201

Corvallis, OR 973303771

Telephone 5417685930
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Corvallis, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -12.1 yrs vs City Avg
City Avg: 16.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Corvallis, OR (615 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shannon (4 Years) 4 Yrs
Corvallis Specialty Average (16.1 Years) 16.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
130 108 $96.00 $53.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
64 54 $140.00 $78.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
41 36 $60.00 $28.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
37 37 $176.00 $107.23
99442 Telephone medical discussion with physician, 11-20 minutes
36 33 $262.00 $53.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
30 30 $118.00 $65.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
24 24 $192.00 $116.28
99441 Telephone medical discussion with physician, 5-10 minutes
22 21 $162.00 $28.35

Medical Specialties & State Licenses

CMS Verified: 2022-12-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OR 202211114NP-PP

(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

South Sound Inpatient Physicians Pllc

1460 G St, Springfield, OR 974774112

Phone: 5417264400

Secondary Practice Locations

1515 Village Dr

Cottage Grove, OR 974249700

Phone: 5417675220

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Jeffrey Crawford , MD

Surgery - Vascular Surgery

NPI 1003106071

Doctor of Medicine (M.D.)

Jurandir De Menezes , PA-C

Physician Assistant

NPI 1164462990

Physician Assistant (Certified)

NPI 1336302686

Doctor of Medicine (M.D.)

NPI 1396789681

Doctor of Medicine (M.D.)

Scott Barlow , PA-C

Physician Assistant

NPI 1528001591

Physician Assistant (Certified)

Dr. Anan Tawil , MBBS

Surgery - Vascular Surgery

NPI 1538450135

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 22, 2022

Registered at 3615 NW SAMARITAN DR STE 201, CORVALLIS, OR 973303771 (Tel: 5417685930)

📍
Updated Business Mailing Address December 22, 2022

Registered at PO BOX 1189, CORVALLIS, OR 973391189

NPI Profile Active August 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2022

Registered at 1515 VILLAGE DR, COTTAGE GROVE, OR 974249700 (Tel: 5417675220)

📍
Updated Business Mailing Address August 02, 2022

Registered at 1515 VILLAGE DR, COTTAGE GROVE, OR 974249700 (Tel: 5417675220)

👤
Provider Name / Credentials Updated August 02, 2022

Recorded as CHERYL SHANNON, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2022

Nurse Practitioner (License #202211114NP-PP in OR)

🟢
Initial NPI Registration & Enumeration August 02, 2022

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: 1164159091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2022
Last Update: December 22, 2022
Sole Proprietor: No

Mailing Address

Po Box 1189

Corvallis, OR 973391189

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.