What is Shannon Staker's NPI number?

Shannon Staker's National Provider Identifier (NPI) is 1023078045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Staker's specialty?

Shannon Staker is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).

Where is Shannon Staker located?

Shannon Staker's practice location on file with NPPES is 210 W 300 N 75-3, Roosevelt, UT 84066.

What is Shannon Staker's phone number?

The practice phone number listed in the NPPES registry for Shannon Staker is (435) 722-3971.

Does Shannon Staker accept Medicare?

Shannon Staker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Shannon Staker's NPI active?

Yes — Shannon Staker's NPI (1023078045) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActiveAccepts Medicare

Shannon Staker, MD

NPI 1023078045 · Pediatrics Physician · Roosevelt, UT

Shannon Staker, MD is a Pediatrics Physician provider in Roosevelt, UT (NPI 1023078045).

Provider details

NPI number: 1023078045
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
License: 49110641205 (UT)

Practice location

210 W 300 N 75-3

Roosevelt, UT 84066

Phone: (435) 722-3971

Fax: (435) 722-6104

Street-level locationGet directions

More UT providers

Mailing address

210 W 300 N 75-3

Roosevelt, UT 84066

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000XLicense 49110641205 (UT)
Allopathic & Osteopathic Physicians

Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2006-03-24
Last updated: 2007-07-08

Frequently asked questions

What is Shannon Staker's NPI number?: Shannon Staker's National Provider Identifier (NPI) is 1023078045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Shannon Staker's specialty?: Shannon Staker is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
Where is Shannon Staker located?: Shannon Staker's practice location on file with NPPES is 210 W 300 N 75-3, Roosevelt, UT 84066.
What is Shannon Staker's phone number?: The practice phone number listed in the NPPES registry for Shannon Staker is (435) 722-3971.
Does Shannon Staker accept Medicare?: Shannon Staker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Shannon Staker's NPI active?: Yes — Shannon Staker's NPI (1023078045) is active in the NPPES registry as of the last update on 2007-07-08.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions