Dr. Shannon R. Staker, MD
- Industry payments
- $32
- Affiliated sites
- 2
- Medical groups
- 2
- State license
- 1
- Year NPI issued
- 2006
- Practice address
- 210 W 300 N, Roosevelt, UT 84066
- Practice phone
- Call (435) 722-3971
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Northeastern Utah Medical Group
Roosevelt, Utah
Find Dr. Staker's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Shannon R. Staker is a pediatrician in Roosevelt, Utah
Dr. Staker practices at Northeastern Utah Medical Group in Roosevelt, Utah.
Dr. Staker's NPI, 1023078045, was assigned on March 24, 2006. Dr. Staker graduated from University of Utah School of Medicine in 1997. Dr. Staker holds Utah license 49110641205.
- NPI
- 1023078045NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4789177544
- NPI enumeration date
- March 24, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (435) 722-3971
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 55
- Medical school graduation
- 1997
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Shannon R. Staker practices at Northeastern Utah Medical Group in Roosevelt, Utah
Dr. Staker's primary practice is Northeastern Utah Medical Group, at 210 W 300 N, Roosevelt, UT 84066 in Duchesne County. The practice phone is (435) 722-3971.
- Northeastern Utah Medical Group210 W 300 N, Roosevelt, UT 84066 · Duchesne CountyPhone(435) 722-3971
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Shannon R. Staker is affiliated with 3 sites of care and 2 medical groups
Dr. Staker's primary practice is Northeastern Utah Medical Group in Roosevelt, Utah. The medical group on file is Uintah Basin Healthcare (Uintah Basin Medical Center). Dmand AI also links Dr. Staker to 2 more group practices and clinics and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Shannon R. Staker's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Staker practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Northeastern Utah Medical Group | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Shannon R. Staker is one of 508 pediatricians in Utah
Pediatrics is Dr. Staker's primary specialty in the NPI Registry, under taxonomy code 208000000X. Dr. Staker is licensed in Utah.
Specialties and state licenses
- Pediatrics, UtahPrimary
Pediatricians near Dr. Staker
Counts of pediatricians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Shannon R. Staker's patients have a median age of 9
Across all payers, Dmand AI patient panel data puts Dr. Staker's median patient age at 9, with 67% women.
Dr. Staker's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 9
Patient panel by sex, all payers
- Women67%
- Men33%
Source: Dmand AI Patient Panel Data
How Dr. Shannon R. Staker takes part in Medicare
Dr. Staker accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Dr. Shannon R. Staker received $32 in industry payments in 2025
CMS Open Payments shows 2 general payments to Dr. Staker from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Janssen Pharmaceuticals, Inc paid the most, $32.
Companies that paid Dr. Staker the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Shannon R. Staker graduated from University of Utah School of Medicine
Dr. Staker graduated from University of Utah School of Medicine in 1997.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Shannon R. Staker's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Shannon R. Staker
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Shannon R. Staker's NPI number?
Dr. Shannon R. Staker's NPI number is 1023078045. It was assigned on March 24, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Shannon R. Staker?
Dr. Shannon R. Staker is a pediatrician in Roosevelt, Utah. The primary specialty in the NPI Registry is Pediatrics Physician (taxonomy code 208000000X).
Where does Dr. Shannon R. Staker practice?
Dr. Staker practices at 210 W 300 N, Roosevelt, UT 84066. Dr. Staker's primary practice is Northeastern Utah Medical Group in Roosevelt, Utah. Dmand AI also links Dr. Staker to 2 group practices and clinics and 1 medical group.
What is Dr. Shannon R. Staker's office phone number?
The practice phone on file for Dr. Staker is (435) 722-3971.
What is Dr. Shannon R. Staker's medical license number?
Dr. Staker holds Utah license 49110641205.
What medical group is Dr. Shannon R. Staker part of?
Dr. Staker is linked to Uintah Basin Healthcare (Uintah Basin Medical Center). Dmand AI links Dr. Staker to 1 more medical group.
Does Dr. Shannon R. Staker accept Medicare?
Yes. CMS lists Dr. Staker as accepting Medicare assignment.
Where did Dr. Shannon R. Staker go to medical school?
Dr. Staker graduated from University of Utah School of Medicine in 1997.
Has Dr. Shannon R. Staker received payments from drug or device companies?
CMS Open Payments shows $32 in general payments to Dr. Staker from 1 company from 2025 to 2025. The largest total came from Janssen Pharmaceuticals, Inc.
How long has Dr. Shannon R. Staker been practicing?
Dr. Staker graduated from medical school in 1997, 29 years ago.
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