Physician Profile

Kristopher R. Shannon, M.D.

Unclaimed Profile

About Dr. Shannon

Based in Pocatello, ID, Kristopher R. Shannon, M.D. is listed in the NPI registry under emergency medicine. Kristopher is also listed as specializing in urgent care clinic.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Education & Training

School Other Graduated: 2015

Specialty

Emergency Medicine (Primary)
Emergency Medicine (Additional)
Emergency Medicine (Additional)
Urgent Care Clinic (Additional)

Credentials & Licensing

ID licenseM-16351
NV license17765
UT license12009729-1205
NPI1063807022
NPI issued04/06/2015

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kristopher R. Shannon?

Kristopher R. Shannon is an emergency physician in Pocatello, ID. That is the designation recorded for this NPI in the federal registry, where it is listed as “Emergency Medicine”.

NPI registry

What is Kristopher R. Shannon's address?

Kristopher R. Shannon is listed at 850 Yellowstone Ave, Pocatello, ID 83201. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kristopher R. Shannon?

The number on file is (208) 239-8065. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Kristopher R. Shannon's NPI number?

Kristopher R. Shannon's National Provider Identifier is 1063807022. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kristopher R. Shannon train?

Kristopher R. Shannon attended Other, graduating in 2015. This comes from the CMS National Downloadable File.

CMS public data

How long has Kristopher R. Shannon been practicing?

Kristopher R. Shannon has 11 years experience. Calculated from a graduation year of 2015, reported in the CMS National Downloadable File.

CMS public data

Has Kristopher R. Shannon confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kristopher R. Shannon. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.