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

Shannon Marie Packard, FNP

Individual provider Family Nurse Practitioner · NPI 1043827769

Shannon Marie Packard, FNP is a Nurse Practitioner in Buckeye, Arizona. Qualified in 2020, 6 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and New York.

Years since qualifying
6
Licensed in
AZ, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

20751 W Market St
Buckeye, AZ 85396-7893
Phone: (623) 463-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 290107 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 346186 (NY)

Record details

NPI number1043827769
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 27, 2020
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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