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SHANNON NICOLE O'BRIEN PA
NPI 1053744425
Physician Assistant - Medical in Meadville, PA

Active since August 20, 2013PECOS EnrolledAccepts Medicare Assignment
640 ALDEN ST, MEADVILLE, PA 16335(814) 373-5255(814) 373-5259 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Nicole O'brien Pa NPPES

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

SHANNON NICOLE O'BRIEN PA (NPI 1053744425) is an individual medical provider in Meadville, Pennsylvania, licensed in Pennsylvania (MA058204) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Meadville Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1053744425
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON NICOLE O'BRIENCredential: PA
Location Address640 ALDEN STMeadville, PA 16335-2348
Mailing Address1034 Grove StreetMeadville, PA 16335-2945 · (814) 373-3530 · Fax (814) 333-1757
Phone(814) 373-5255
Fax(814) 373-5259
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 20, 2013
Last NPPES UpdateApril 9, 2019
✔ NPI 1053744425 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
Licenses✔ Licensed in PA · MA058204✔ Licensed in IL · 085004752
Also ListedPhysician AssistantTaxonomy 363A00000X · License OA003787 (PA)
640 ALDEN ST, Meadville, PA 16335
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon Nicole Wanichko

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 Nicole O'brien Pa 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 ID5698053155
PECOS Enrollment IDI20161103001630
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.

Hospital Affiliations CMS Care Compare 2

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

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Titusville Area Hospital

Critical Access Hospitals · Titusville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391314
Location406 West Oak StreetTitusville, PA 16354 · Crawford County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims57 services$6.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

COMMUNITY HEALTH SERVICES
Dentist
640 ALDEN ST
MEADVILLE, PA 16335
Crawford County (814) 373-5200
ALEXIS B PEARSON CRNP
Nurse Practitioner
640 ALDEN ST
MEADVILLE, PA 16335
Crawford County (814) 373-5266
CRAWFORD COUNTY SUB-SPECIALISTS GROUP
Orthopaedic Surgery
640 ALDEN ST
MEADVILLE, PA 16335
Crawford County (814) 724-1252
APRIL VIVIAN GEBHART LMSW
Social Worker
640 ALDEN ST
MEADVILLE, PA 16335
Crawford County (814) 373-5255
CHALLEN CHRISTINE CULBERTSON NP
Nurse Practitioner (Family)
640 ALDEN ST
MEADVILLE, PA 16335
Crawford County (814) 373-5255
SHABIA SINGH M.D.
Family Medicine
640 ALDEN ST
MEADVILLE, PA 16335
Crawford County (814) 373-5255
DR. LAWSON C SMART M.D.
Orthopaedic Surgery
640 ALDEN ST
MEADVILLE, PA 16335
Crawford County (814) 724-1252
ABBY LYNN REINECK MD
Psychiatry & Neurology (Psychiatry)
640 ALDEN ST
MEADVILLE, PA 16335
Crawford County (814) 373-5266

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 O'brien's NPI number?

The NPI number for Shannon O'brien is 1053744425. It was assigned to this individual provider in the NPPES registry on August 20, 2013. The provider is also known as Shannon Nicole Wanichko.

Where is Shannon O'brien located?

Shannon O'brien practices at 640 Alden St, Meadville, PA 16335. The listed phone number is (814) 373-5255.

What is Shannon O'brien's specialty?

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

Is Shannon O'brien enrolled in Medicare?

Yes. Shannon O'brien 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.

Is Shannon O'brien affiliated with any hospitals?

According to CMS data, Shannon O'brien is affiliated with Meadville Medical Center and Titusville Area Hospital.

When was this NPI record last updated?

The NPPES record for Shannon O'brien was last updated on April 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.