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

Shannon Dee Booth, MSN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1083379184

Shannon Dee Booth, MSN, PMHNP-BC is a Nurse Practitioner in Wasilla, Alaska. Qualified in 2021, 5 years ago. Practices with Kau Hospital, a 135-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alaska and Hawaii.

Years since qualifying
5
Licensed in
AK, HI
In the registry since
2021
Specialties on file
3
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1363 W Spruce Ave
Wasilla, AK 99654-5327
Phone: (907) 376-2411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3261 S Big Lake Rd, Big Lake, AK 99623-9663 — (907) 376-2411
  • 425 E Dahlia Ave Ste M, Palmer, AK 99645-6463 — (907) 376-2411

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 182979 (AK)
Registered Nurse Taxonomy 163W00000X · Licence 174083 (AK)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN-4445 (HI)

Record details

NPI number1083379184
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , PMHNP-BC
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kau Hospital — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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