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SHANNON FAY PA-C
NPI 1023177565
Physician Assistant - Medical in Portland, OR

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-3442(503) 494-5330 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2020, Oct 7, 2020 (2 updates tracked since 2020).

About Shannon Fay Pa-c NPPES

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

SHANNON FAY PA-C (NPI 1023177565) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA01170) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1023177565
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON FAYCredential: PA-C
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-3442 · Fax (503) 494-5330
Phone(503) 494-3442
Fax(503) 494-5330
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2006
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 29, 20202 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
✔ NPI 1023177565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA01170
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA01170 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Location 1

Location 1435 Lancaster Dr NESalem, OR 97301-2762 · Phone (503) 585-6388 · Fax (503) 566-0212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

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

Shannon Fay 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 ID941477467
PECOS Enrollment IDI20120124000168, I20151008001218
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Mid-Columbia Medical Center

Acute Care Hospitals · The Dalles, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380001
Location1700 E 19th StreetThe Dalles, OR 97058 · Wasco County
Emergency services Birthing friendly

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Fay's NPI number?

The NPI number for Shannon Fay is 1023177565. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Shannon Fay located?

Shannon Fay practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-3442.

What is Shannon Fay's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shannon Fay enrolled in Medicare?

Yes. Shannon Fay is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Fay accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Shannon Fay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shannon Fay affiliated with any hospitals?

According to CMS data, Shannon Fay is affiliated with Mid-Columbia Medical Center and Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Shannon Fay was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.