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DR. SHANNON LEE BONCZYK D.C.
NPI 1043653652
Chiropractor in Le Roy, NY

Active since April 12, 2013Accepts Medicare Assignment
7133 W MAIN RD STE 1, LE ROY, NY 14482(585) 813-5157(585) 510-4527 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2024, Feb 13, 2023, Mar 17, 2016 (3 updates tracked since 2016).

About Dr. Shannon Lee Bonczyk D.c. NPPES

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

DR. SHANNON LEE BONCZYK D.C. (NPI 1043653652) is an individual chiropractor in Le Roy, New York, licensed in New York (012357) and active in the NPI registry since April 2013. She maintains a secondary practice location in Rochester and is a graduate of New York Chiropractic College (2013).

NPPES Registry Identity

NPI1043653652
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANNON LEE BONCZYKCredential: D.C.
Location Address7133 W MAIN RD STE 1Le Roy, NY 14482-9380
Mailing Address7133 W Main RdLe Roy, NY 14482-9380 · (585) 639-4652 · Fax (585) 510-4527
Phone(585) 813-5157
Fax(585) 510-4527
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2013
Enumeration DateApril 12, 2013
Last NPPES UpdateApril 26, 20243 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1043653652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 012357
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
7133 W MAIN RD STE 1, Le Roy, NY 14482
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Other Names 1

Former Name (1)Shannon Lee Wright Dc

Secondary Practice Location 1

Location 1144 Metro Park Ste 1Rochester, NY 14623-2653 · Phone (585) 639-4652 · Fax (585) 510-4527

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannon Lee Bonczyk D.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 ID8921240607
PECOS Enrollment IDI20130808000491

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Bonczyk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesee Country Chiropractic PLLC
Same address
Chiropractor
7133 W MAIN RD STE 1
Le Roy, NY 14482
  • Reassigned Medicare billing, New York enrollment
NPI 1932807955 (585) 639-4652
Odell Family Chiropractic PC
31 mi
Chiropractor
853 RIDGE RD
Webster, NY 14580
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1952525578 (585) 671-9210

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

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

GENESEE COUNTRY CHIROPRACTIC PLLC
Chiropractor
7133 W MAIN RD STE 1
LE ROY, NY 14482
Genesee County (585) 639-4652

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 Bonczyk's NPI number?

The NPI number for Shannon Bonczyk is 1043653652. It was assigned to this individual provider in the NPPES registry on April 12, 2013. The provider is also known as Shannon Lee Wright Dc.

Where is Shannon Bonczyk located?

Shannon Bonczyk practices at 7133 W Main Rd Ste 1, Le Roy, NY 14482. The listed phone number is (585) 813-5157.

What is Shannon Bonczyk's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Shannon Bonczyk enrolled in Medicare?

Yes. Shannon Bonczyk 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.

Which organizations bill Medicare for Shannon Bonczyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Bonczyk reassigns Medicare benefits to 2 organizations: Genesee Country Chiropractic PLLC (Le Roy, NY) and Odell Family Chiropractic PC (Webster, NY). Each 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 Bonczyk'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 Bonczyk was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.