SHANNON RENEE IRISH PA-C
NPI 1023597200
Physician Assistant - Surgical in Williamsville, NY

Q: What is Shannon Irish's NPI number?

The NPI number for Shannon Irish is 1023597200. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Q: What is Shannon Irish's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Irish was last updated on September 13, 2019. 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.

Active since August 09, 2018PECOS EnrolledAccepts Medicare Assignment

84.49/100

CMS Quality Rating

36 N UNION RD, WILLIAMSVILLE, NY 14221(716) 636-1470(716) 636-1423 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2019, Aug 9, 2018 (2 updates tracked since 2018).

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About Shannon Renee Irish Pa-c NPPES

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

SHANNON RENEE IRISH PA-C (NPI 1023597200) is an individual surgical provider in Williamsville, New York, licensed in New York (022057) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in East Amherst, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023597200

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameSHANNON RENEE IRISHCredential: PA-C

Location Address36 N UNION RDWilliamsville, NY 14221-5383

Mailing Address3925 Sheridan Dr, Ste 100Amherst, NY 14226-1738 · (716) 250-6492 · Fax (716) 250-6522

Phone(716) 636-1470

Fax(716) 636-1423

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 9, 2018

Last NPPES UpdateSeptember 13, 20192 updates tracked since enumeration

✔ NPI 1023597200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 022057

36 N UNION RD, Williamsville, NY 14221

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Secondary Practice Location 1

Location 18750 Transit Rd Ste 105East Amherst, NY 14051-2610 · Phone (716) 636-1470 · Fax (716) 636-1423

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 Renee Irish 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 ID8325399504

PECOS Enrollment IDI20180927001109

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 5

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

70 services53 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

69 services50 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

23 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.3

Promoting Interoperability

Improvement Activities

Cost

72.28

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY HANNON PA-C

Physician Assistant