Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cheryl Lynn Shannon, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1164159091

Cheryl Lynn Shannon, NURSEPRACTITIONER is a Nurse Practitioner in Corvallis, Oregon. Graduated from University of South Alabama College of Medicine in 2022, 4 years ago. Practices with South Sound Inpatient Physicians PLLC, a 427-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Trained at
University of South Alabama College of Medicine
Licensed in
OR
In the registry since
2022
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Practice location Address checks out

3615 NW Samaritan Dr Ste 201
Corvallis, OR 97330-3771
Phone: (541) 768-5930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1515 Village Dr, Cottage Grove, OR 97424-9700 — (541) 767-5220

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 202211114NP-PP (OR)

Record details

NPI number1164159091
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice South Sound Inpatient Physicians Pllc — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Corvallis