MS. SHANNON TRACEY GAGLIARDI PA-C
NPI 1023161742
Physician Assistant in Ephrata, PA

Q: What is Shannon Gagliardi's NPI number?

The NPI number for Shannon Gagliardi is 1023161742. It was assigned to this individual provider in the NPPES registry on January 18, 2007. The provider is also known as Shannon Tracey Mcclinton.

Q: What is Shannon Gagliardi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Gagliardi was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment

446 N READING RD, EPHRATA, PA 17522(717) 738-5275(717) 738-5278 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2025, Oct 15, 2019, Dec 13, 2016 (3 updates tracked since 2016).

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About Ms. Shannon Tracey Gagliardi Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHANNON TRACEY GAGLIARDI PA-C (NPI 1023161742) is an individual physician assistant in Ephrata, Pennsylvania, licensed in Pennsylvania (MA052968) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Wellspan Ephrata Community Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1023161742

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. SHANNON TRACEY GAGLIARDICredential: PA-C

Location Address446 N READING RDEphrata, PA 17522-9802

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969

Phone(717) 738-5275

Fax(717) 738-5278

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2025

✔ NPI 1023161742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in PA · MA052968✔ Licensed in HI · AMD-291

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

446 N READING RD, Ephrata, PA 17522

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Other Names 1

Former Name (1)Shannon Tracey Mcclinton

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Shannon Tracey Gagliardi Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315042868

PECOS Enrollment IDI20070927000047

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390225

Location169 Martin AvenueEphrata, PA 17522 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THE PSYCHOLOGY AND MINDFULNESS CENTER, PLLC

Psychologist (Clinical)

446 N READING RD, SUITE 204
EPHRATA, PA 17522

Lancaster County (717) 466-6565

EUGENE EDWARD SHUMAN JR. PA-C

Physician Assistant