SHANNON LEIGH OTERI D.O.
NPI 1023452968
Student in an Organized Health Care Education/Training Program in Auburn, MA

Active since April 22, 2013PECOS Enrolled
105 MILLBURY ST CHILD HEALTH ASSOCIATES, AUBURN, MA 01501(508) 832-9691(508) 721-2070 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Leigh Oteri D.o. NPPES

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

SHANNON LEIGH OTERI D.O. (NPI 1023452968) is an individual student in an organized health care education/training program in Auburn, Massachusetts and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023452968
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON LEIGH OTERICredential: D.O.
Location Address105 MILLBURY ST CHILD HEALTH ASSOCIATESAuburn, MA 01501-3205
Mailing Address105 Millbury St Child Health AssociatesAuburn, MA 01501-3205 · (508) 832-9691 · Fax (508) 721-2070
Fax(508) 721-2070
Sole ProprietorYes
Enumeration DateApril 22, 2013
Last NPPES UpdateMarch 26, 2020
NPPES CertifiedMarch 26, 2020
NPI 1023452968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
105 MILLBURY ST CHILD HEALTH ASSOCIATES, Auburn, MA 01501

Other Names 1

Former Name (1)Shannon Leigh O'connell

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shannon Leigh Oteri D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Oteri's NPI number?

The NPI number for Shannon Oteri is 1023452968. It was assigned to this individual provider in the NPPES registry on April 22, 2013. The provider is also known as Shannon Leigh O'connell.

Where is Shannon Oteri located?

Shannon Oteri practices at 105 Millbury St Child Health Associates, Auburn, MA 01501. The listed phone number is (508) 832-9691.

What is Shannon Oteri's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Oteri enrolled in Medicare?

Yes. Shannon Oteri is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Oteri accept?

Health plans from Anthem Blue Cross and Blue Shield list Shannon Oteri 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.

When was this NPI record last updated?

The NPPES record for Shannon Oteri was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.