SHANNON ELIZABETH LORD FNP
NPI 1104638998
Nurse Practitioner - Family in Syracuse, NY
About Shannon Elizabeth Lord Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON ELIZABETH LORD FNP (NPI 1104638998) is an individual family provider in Syracuse, New York, licensed in New York (F354246) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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 Elizabeth Lord 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Lord's NPI number?
The NPI number for Shannon Lord is 1104638998. It was assigned to this individual provider in the NPPES registry on January 21, 2025.
Where is Shannon Lord located?
Shannon Lord practices at 736 Irving Ave, Syracuse, NY 13210. The listed phone number is (315) 470-7424.
What is Shannon Lord's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Lord enrolled in Medicare?
Yes. Shannon Lord 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 Lord affiliated with any hospitals?
According to CMS data, Shannon Lord is affiliated with University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Shannon Lord was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Shannon Elizabeth Lord, FNP · NPI 1104638998
Family physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since January 21, 2025.
## Identity
- **NPI:** 1104638998 (Entity type: Individual)
- **Enumerated:** January 21, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F354246 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 736 IRVING AVE, Syracuse, NY 13210-1602
- **Phone:** (315) 470-7424
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104638998) · Data from the CMS NPPES public registry.