SHANNON CROWLEY RD, LDN
NPI 1013796507
Dietitian, Registered in Newton, MA
About Shannon Crowley Rd, Ldn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON CROWLEY RD, LDN (NPI 1013796507) is an individual dietitian, registered in Newton, Massachusetts, licensed in Massachusetts (LDN6596) and active in the NPI registry since September 2023.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Crowley Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Crowley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 788 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWTON, MA 02462
NEWTON, MA 02462
NEWTON, MA 02462
NEWTON, MA 02462
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shannon Crowley's NPI number?
The NPI number for Shannon Crowley is 1013796507. It was assigned to this individual provider in the NPPES registry on September 25, 2023.
Where is Shannon Crowley located?
Shannon Crowley practices at 2014 Washington St, Newton, MA 02462. The listed phone number is (617) 243-6000.
What is Shannon Crowley's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Shannon Crowley enrolled in Medicare?
Yes. Shannon Crowley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Crowley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Crowley reassigns Medicare benefits to Eastern Maine Medical Center (Bangor, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Crowley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Crowley was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shannon Crowley, RD, LDN · NPI 1013796507
Dietitian, Registered provider in Newton, Massachusetts. Individual provider, active in the CMS NPPES registry since September 25, 2023.
## Identity
- **NPI:** 1013796507 (Entity type: Individual)
- **Enumerated:** September 25, 2023
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** LDN6596 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 2014 WASHINGTON ST, Newton, MA 02462-1607
- **Phone:** (617) 243-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Eastern Maine Medical Center (NPI 1790789147, Bangor, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013796507) · Data from the CMS NPPES public registry.