Doctor profile · Federal record
Dr. Shanna Shackelford, DNP-APRN
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Bolivar, TN
- NPI 1720639172
- Accepts Medicare
- MIPS 23.3 / 100 · 2023
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11100 Old Hwy 64 W
Bolivar, TN 38008
(901) 300-6808 - Mailing address
-
9245 Poplar Ave Ste 368
Germantown, TN 381387931
Credentials & registration
- NPI registered
- September 2019 — 7 yrs on file
- Profile last updated
- October 22, 2024
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State license (1)
- Tennessee #26359
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720639172. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,231
Distinct HCPCS
7
Medicare allowed
$257,844
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,313 | 278 | $84 | |
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 1,211 | 308 | $59 | |
90792 |
Psychiatric diagnostic evaluation with medical services | 346 | 343 | $139 | |
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 171 | 44 | $59 | |
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 113 | 22 | $84 | |
90792 |
Psychiatric diagnostic evaluation with medical services | 41 | 41 | $158 | |
99348 |
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 36 | 14 | $61 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 364. This provider delivers 8.9× the peer median.Open Payments
Industry payments received
All-time total
$526
Transactions
9
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 6 | $194.64 | |
| Vanda Pharmaceuticals Inc. | 1 | $125.96 | |
| Neurocrine Biosciences, Inc. | 1 | $116.77 | |
| Axsome Therapeutics, Inc. | 1 | $88.53 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,294
Patients
380
Total drug cost
$63,452
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Quetiapine Fumarate | Generic | 356 | 52 | $6,354 |
| Divalproex Sodium | Generic | 341 | 60 | $25,332 |
| Trazodone Hcl | Generic | 322 | 47 | $3,660 |
| Risperidone | Generic | 263 | 46 | $4,353 |
| Sertraline Hcl | Generic | 157 | 29 | $1,567 |
| Escitalopram Oxalate | Generic | 139 | 25 | $1,800 |
| Duloxetine Hcl | Generic | 125 | 18 | $6,998 |
| Buspirone Hcl | Generic | 103 | 16 | $2,375 |
| Olanzapine | Generic | 96 | 32 | $4,976 |
| Fluoxetine Hcl | Generic | 81 | 12 | $836 |
Frequently asked questions
What is Dr. Shanna Shackelford's medical specialty?
Dr. Shanna Shackelford practices Psychiatric/Mental Health Nurse Practitioner in Bolivar, TN.
Where does Dr. Shanna Shackelford practice?
Dr. Shanna Shackelford practices at 11100 Old Hwy 64 W, Bolivar, TN 38008. Office phone: 9013006808.
What is Dr. Shanna Shackelford's NPI?
Dr. Shanna Shackelford's National Provider Identifier (NPI) is 1720639172, issued by NPPES.
Does Dr. Shanna Shackelford accept Medicare assignment?
Yes. Dr. Shanna Shackelford accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shanna Shackelford commonly perform?
Top Medicare-reported procedures in 2023: Subsequent nursing facility care with moderate level of medical decision making (HCPCS 99309); Subsequent nursing facility care with straightforward level of medical decision making (HCPCS 99308); Psychiatric diagnostic evaluation with medical services (HCPCS 90792). Source: CMS Medicare Physician & Other Practitioners file.