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MARY M SHANNON CRNP
NPI 1104816073
Nurse Practitioner - Family in Kittanning, PA

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
1 NOLTE DR, KITTANNING, PA 16201(724) 543-8536(724) 543-8743 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary M Shannon Crnp NPPES

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

MARY M SHANNON CRNP (NPI 1104816073) is an individual family provider in Kittanning, Pennsylvania, licensed in Pennsylvania (SP007840) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Acmh Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104816073
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY M SHANNONCredential: CRNP
Location Address1 NOLTE DRKittanning, PA 16201-7111
Mailing Address3530 Peach St, Suite Ll1Erie, PA 16508-2768
Phone(724) 543-8536
Fax(724) 543-8743
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 24, 2005
Last NPPES UpdateJuly 16, 2007
✔ NPI 1104816073 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 PA · SP007840
1 NOLTE DR, Kittanning, PA 16201
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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

Mary M Shannon Crnp 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 ID749242246
PECOS Enrollment IDI20041027001019
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 2

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.
36 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services12 patients

Hospital Affiliations CMS Care Compare

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

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16201 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

ARMSTRONG COUNTY MEMORIAL HOSPITAL
Internal Medicine
1 NOLTE DR, SNYDER INSTITUTE
KITTANNING, PA 16201
Armstrong County (724) 543-8500
THOMAS LYNCH
Pediatrics
1 NOLTE DR, STE 170
KITTANNING, PA 16201
Armstrong County (724) 548-2283
JAMES E CHILDS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 NOLTE DR
KITTANNING, PA 16201
Armstrong County (724) 543-8122
GLADE RUN MEDICAL ASSOCIATES
Surgery
1 NOLTE DR, SNYDER INSTITUTE
KITTANNING, PA 16201
Armstrong County (724) 543-8536
DR. BRITTANEY LEIGH MOORE C.R.N.P.
Nurse Practitioner (Family)
1 NOLTE DR
KITTANNING, PA 16201
Armstrong County (724) 543-8268
TODD R OLINGER PT
Physical Therapist
1 NOLTE DR
KITTANNING, PA 16201
Armstrong County (724) 543-8880
ALLISON TAYLOR CICCHITTO PA-C
Physician Assistant
1 NOLTE DR
KITTANNING, PA 16201
Armstrong County (724) 543-8500
BRITTNEY DANEE KOPAS CRNA
Nurse Anesthetist, Certified Registered
1 NOLTE DR
KITTANNING, PA 16201
Armstrong County (724) 543-8500

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 Mary Shannon's NPI number?

The NPI number for Mary Shannon is 1104816073. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Mary Shannon located?

Mary Shannon practices at 1 Nolte Dr, Kittanning, PA 16201. The listed phone number is (724) 543-8536.

What is Mary Shannon's specialty?

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

Is Mary Shannon enrolled in Medicare?

Yes. Mary Shannon 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 Mary Shannon affiliated with any hospitals?

According to CMS data, Mary Shannon is affiliated with Acmh Hospital.

When was this NPI record last updated?

The NPPES record for Mary Shannon was last updated on July 16, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.