Shannon Black, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Marshall, Arkansas. She graduated from medical school in 2025 and has 0 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Access Medical Clinic Arkansas Ltc Llc, Bradley Bibb Md Pllc and her current practice location is
942 Highway 65 N, Marshall, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(888) 518-1418.
Shannon Black is licensed to practice in Arkansas (license number 233849) 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 1043013394.
Physician's Profile
| Full Name | Shannon Black |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 0 Years |
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| Location | 942 Highway 65 N, Marshall, Arkansas |
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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. |
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Medical Education and Training:
- Shannon Black graduated from medical school in 2025
NPI Data:
- NPI Number: 1043013394
- Provider Enumeration Date: 03/31/2025
- Last Update Date: 06/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062926710
- Enrollment ID: I20250707001987
Medical Identifiers
Medical identifiers for Shannon Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043013394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2025004733 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 233849 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Access Medical Clinic Arkansas Ltc Llc | 0547618175 | 116 |
| Bradley Bibb Md Pllc | 4789715285 | 57 |
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 Black 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 |
|---|
Shannon Black, FNP-BC
4196 Highway 62 412 Ste A,
Hardy, AR 72542-8002
Ph: () - | Shannon Black, FNP-BC
942 Highway 65 N,
Marshall, AR 72650-7772
Ph: (888) 518-1418 |
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