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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON PROCTOR NP
NPI 1053984716
Nurse Practitioner - Family in Penn Yan, NY

Active since July 21, 2021PECOS Enrolled
418 N MAIN ST, PENN YAN, NY 14527(315) 531-2020 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 17, 2026, Jul 21, 2021 (2 updates tracked since 2021).

About Shannon Proctor Np NPPES

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

SHANNON PROCTOR NP (NPI 1053984716) is an individual family provider in Penn Yan, New York, licensed in New York (347873) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Geneva General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053984716
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON PROCTORCredential: NP
Location Address418 N MAIN STPenn Yan, NY 14527-1070
Mailing Address200 North StGeneva, NY 14456-1561 · (315) 787-4021
Phone(315) 531-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 21, 2021
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1053984716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 347873
418 N MAIN ST, Penn Yan, NY 14527
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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 Proctor Np 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 ID8224436043
PECOS Enrollment IDI20211008001701
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Geneva General Hospital

Acute Care Hospitals · Geneva, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330058
Location196 -198 North StreetGeneva, NY 14456 · Ontario County
Emergency services

Soldiers And Sailors Memorial Hospital Of Yates

Critical Access Hospitals · Penn Yan, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331314
Location418 North Main StreetPenn Yan, NY 14527 · Yates County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14527 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

REGINA ZVITKOVITZ LILLY MD
Internal Medicine
418 N MAIN ST
PENN YAN, NY 14527
Yates County (315) 787-4000
MS. JOY ELAINE SCHANK RN, MSN, ANP, CWOCN
Nurse Practitioner (Adult Health)
418 N MAIN ST
PENN YAN, NY 14527
Yates County (315) 536-3368
SOLDIERS & SAILORS MEMORIAL HOSPITAL
Emergency Medicine
418 N MAIN ST
PENN YAN, NY 14527
Yates County (315) 787-4150
TARA A. ATKINSON LMSW
Social Worker
418 N MAIN ST, PATIENT ACCOUNTING DEPT.
PENN YAN, NY 14527
Yates County (315) 531-2150
NANCY JO REMBAUM CRNA
Nurse Anesthetist, Certified Registered
418 N MAIN ST
PENN YAN, NY 14527
Yates County (315) 531-2533
RACHAEL PATTEN LMSW
Social Worker
418 N MAIN ST
PENN YAN, NY 14527
Yates County (315) 531-2400
SOLDIERS & SAILORS MEMORIAL HOSPITAL
Medicare Defined Swing Bed Unit
418 N MAIN ST
PENN YAN, NY 14527
Yates County (315) 787-4150
SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY, INC.
General Acute Care Hospital (Critical Access)
418 N MAIN ST
PENN YAN, NY 14527
Yates County (315) 787-4031

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 Proctor's NPI number?

The NPI number for Shannon Proctor is 1053984716. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Shannon Proctor located?

Shannon Proctor practices at 418 N Main St, Penn Yan, NY 14527. The listed phone number is (315) 531-2020.

What is Shannon Proctor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Proctor enrolled in Medicare?

Yes. Shannon Proctor 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 Proctor affiliated with any hospitals?

According to CMS data, Shannon Proctor is affiliated with Geneva General Hospital and Soldiers And Sailors Memorial Hospital Of Yates.

When was this NPI record last updated?

The NPPES record for Shannon Proctor was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.