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SHANNON RANDA LEE FNP
NPI 1083232938
Nurse Practitioner - Family in New Hartford, NY

Active since July 08, 2020PECOS EnrolledAccepts Medicare Assignment
1729 BURRSTONE RD, NEW HARTFORD, NY 13413(315) 798-1830(315) 798-1831 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Randa Lee Fnp NPPES

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

SHANNON RANDA LEE FNP (NPI 1083232938) is an individual family provider in New Hartford, New York, licensed in New York (345930) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083232938
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON RANDA LEECredential: FNP
Location Address1729 BURRSTONE RDNew Hartford, NY 13413-1001
Mailing Address1729 Burrstone RdNew Hartford, NY 13413-1001 · (315) 798-1830 · Fax (315) 798-1831
Phone(315) 798-1830
Fax(315) 798-1831
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1083232938 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 · 345930
1729 BURRSTONE RD, New Hartford, NY 13413
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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 Randa Lee Fnp 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 ID7315364833
PECOS Enrollment IDI20200828002614
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 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
279 services189 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
17 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services17 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13413 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.

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
8 suppliers13 claims29 services$6.23 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.

LYNN LUTHERN PA
Physician Assistant (Medical)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1859
AMELA THOMPSON
Nurse Practitioner (Family)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1808
MS. KAREN WARNER NP
Nurse Practitioner
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1543
DR. DAYAL DAVIS RAJA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1729 BURRSTONE RD, SLOCUM-DICKSON MEDICAL GROUP
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700
MELANIE PADMANABHAN FNP
Nurse Practitioner (Family)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1551
MICHAEL JOSEPH MCNULTY M.D.
Pain Medicine (Pain Medicine)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1747
DR. GAIL JOHNSON M.D.
Internal Medicine
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700
SUZANNE W BUSCHOR PT
Physical Therapist
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700

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 Lee's NPI number?

The NPI number for Shannon Lee is 1083232938. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Where is Shannon Lee located?

Shannon Lee practices at 1729 Burrstone Rd, New Hartford, NY 13413. The listed phone number is (315) 798-1830.

What is Shannon Lee's specialty?

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

Is Shannon Lee enrolled in Medicare?

Yes. Shannon Lee 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 Lee affiliated with any hospitals?

According to CMS data, Shannon Lee is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Lee was last updated on July 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.