SHANNON CHURCH
NPI 1104364686
Nurse Practitioner - Family in Albany, NY
About Shannon Church NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON CHURCH (NPI 1104364686) is an individual family provider in Albany, New York, licensed in New York (F341370-1) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Church is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBANY, NY 12205
ALBANY, NY 12205
ALBANY, NY 12205
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 Church's NPI number?
The NPI number for Shannon Church is 1104364686. It was assigned to this individual provider in the NPPES registry on February 6, 2017.
Where is Shannon Church located?
Shannon Church practices at 5 Palisades Drive Suite 200 St. Peter's Internal Medicine, Albany, NY 12205. The listed phone number is (518) 438-0019.
What is Shannon Church's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Church enrolled in Medicare?
Yes. Shannon Church is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shannon Church was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.