Shannon Rae Taylor, APN - Medicare Nurse Practitioner in Russellville, AR

Shannon Rae Taylor, APN is a medicare enrolled "Nurse Practitioner" in Russellville, Arkansas. Her current practice location is 550 Carothers Ln, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 747-7913.

Shannon Rae Taylor is licensed to practice in Arkansas (license number A005875) 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 1952882227.

Contact Information

Shannon Rae Taylor, APN
550 Carothers Ln,
Russellville, AR 72802-8231
(479) 747-7913
Not Available

Map and Direction




Provider's Profile

Full NameShannon Rae Taylor
GenderFemale
SpecialityNurse Practitioner
Location550 Carothers Ln, Russellville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952882227
  • Provider Enumeration Date: 08/24/2018
  • Last Update Date: 12/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9436494655
  • Enrollment ID: I20181217001808

Medical Identifiers

Medical identifiers for Shannon Rae Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952882227NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A005875 (Arkansas)Secondary
363L00000XNurse Practitioner A005875 (Arkansas)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. Shannon Rae Taylor allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050418001201
Entity NameSoutheastern Emergency Services P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669414264
PECOS PAC ID: 6204730195
Enrollment ID: O20070301000532
Entity NameUrgent Team Of Arkansas Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992041370
PECOS PAC ID: 1850539198
Enrollment ID: O20130529000209
Entity NameArkansas Emergency Physician Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720529498
PECOS PAC ID: 7911284500
Enrollment ID: O20170509001162

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 Rae Taylor 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 Rae Taylor, APN
550 Carothers Ln,
Russellville, AR 72802-8231

Ph: (479) 747-7913
Shannon Rae Taylor, APN
550 Carothers Ln,
Russellville, AR 72802-8231

Ph: (479) 747-7913

Reviews and Comments


Nurse Practitioner Nurses in Russellville, AR

Karen Michelle Branch, NP
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Practice Location: 2210 W Main St, Russellville, AR 72801
Phone: 479-968-8940    Fax: 479-968-8901
Ashley Mccoy, APRN
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Kristy Hogan, APRN
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Practice Location: 402 W O St, Dean Hall, Room 126, Russellville, AR 72801
Phone: 479-368-0329    
Ms. Candace Darlene Welcher, APN
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Medicare: Not Enrolled in Medicare
Practice Location: 101 Skyline Dr, Russellville, AR 72801
Phone: 479-968-2345    Fax: 479-890-2467
Margaret Danielle Mullins-moats, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 3812 W Main St., Russellville, AR 72801
Phone: 479-968-1245    
Lindsey Sharp,
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Medicare: Accepting Medicare Assignments
Practice Location: 1808 W Main St, Russellville, AR 72801
Phone: 479-964-2198    

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.