Shannon Pham, NP
NPI 1295321370 · Family Nurse Practitioner · Appleton, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Pham, NP is a Family Nurse Practitioner provider in Appleton, WI (NPI 1295321370).
Provider details
- NPI number
- 1295321370
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- F06201040 (WI)
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 tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
83 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 39 | $140 |
| Critical Care, First 30-74 Minutes99291 | 27 | $171 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 17 | $97 |
Typical Medicare-allowed amounts for these services range $97–$171 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 28 | 27 |
| Cephalexin | 18 | 18 |
| Ondansetronbrand: Ondansetron Odt | 18 | 18 |
| Methylprednisolone | 12 | 12 |
| Prednisone | 12 | 12 |
| Cyclobenzaprine Hcl | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 800 Riverside DrWaupaca, WI 54981-1943Phone: (715) 258-1041Fax: (715) 258-1042
Registry dates
- Enumerated
- 2020-12-14
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is Shannon Pham's NPI number?
- Shannon Pham's National Provider Identifier (NPI) is 1295321370, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Pham's specialty?
- Shannon Pham is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Pham located?
- Shannon Pham's practice location on file with NPPES is 1506 S Oneida St, Appleton, WI 54915-1305.
- What is Shannon Pham's phone number?
- The practice phone number listed in the NPPES registry for Shannon Pham is (920) 738-2000.
- Does Shannon Pham accept Medicare?
- Shannon Pham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Pham's NPI active?
- Yes — Shannon Pham's NPI (1295321370) is active in the NPPES registry as of the last update on 2025-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.