Erick Shannon, FNP-C
NPI 1043190655 · Nurse Practitioner · Carbondale, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Erick Shannon, FNP-C is a Nurse Practitioner provider in Carbondale, IL (NPI 1043190655).
Provider details
- NPI number
- 1043190655
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 209034228 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (3)
- 100 Dr Warren Tuttle DrHarrisburg, IL 62946-2718Phone: (618) 253-0350Fax: (618) 252-2425
- 201 S 14th StHerrin, IL 62948-3631Phone: (618) 942-2171Fax: (618) 351-4917
- 2 S Hospital DrMurphysboro, IL 62966-3333Phone: (618) 684-3156Fax: (618) 529-0524
Registry dates
- Enumerated
- 2025-09-04
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Erick Shannon's NPI number?
- Erick Shannon's National Provider Identifier (NPI) is 1043190655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Erick Shannon's specialty?
- Erick Shannon is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Erick Shannon located?
- Erick Shannon's practice location on file with NPPES is 405 W Jackson St, Carbondale, IL 62901-1467.
- What is Erick Shannon's phone number?
- The practice phone number listed in the NPPES registry for Erick Shannon is (618) 549-0721.
- Does Erick Shannon accept Medicare?
- Erick Shannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Erick Shannon's NPI active?
- Yes — Erick Shannon's NPI (1043190655) is active in the NPPES registry as of the last update on 2026-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.