SHANNON MARIE NICOSIA FNP
NPI 1114539269
Nurse Practitioner in State College, PA

Active since August 20, 2020PECOS Enrolled
200 SCENERY DR, STATE COLLEGE, PA 16801(570) 271-6516 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2023, Aug 20, 2020 (2 updates tracked since 2020).

About Shannon Marie Nicosia Fnp NPPES

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

SHANNON MARIE NICOSIA FNP (NPI 1114539269) is an individual nurse practitioner in State College, Pennsylvania, licensed in Pennsylvania (SP025407) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114539269
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON MARIE NICOSIACredential: FNP
Location Address200 SCENERY DRState College, PA 16801-7974
Mailing Address161 Harvest Hill LnSpring Mills, PA 16875-1610 · (814) 360-8827
Sole ProprietorNo
Enumeration DateAugust 20, 2020
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
NPI 1114539269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP025407
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 346354 (NY)
200 SCENERY DR, State College, PA 16801

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 Marie Nicosia Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16801 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.

Pharmacist
200 SCENERY DR
STATE COLLEGE, PA 16801
Physician Assistant
200 SCENERY DR
STATE COLLEGE, PA 16801
Dermatology
200 SCENERY DR
STATE COLLEGE, PA 16801
Internal Medicine
200 SCENERY DR
STATE COLLEGE, PA 16801
Clinical Neuropsychologist
200 SCENERY DR
STATE COLLEGE, PA 16801
Internal Medicine
200 SCENERY DR
STATE COLLEGE, PA 16801
Nurse Practitioner (Family)
200 SCENERY DR
STATE COLLEGE, PA 16801
Urology
200 SCENERY DR
STATE COLLEGE, PA 16801

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 Nicosia's NPI number?

The NPI number for Shannon Nicosia is 1114539269. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Shannon Nicosia located?

Shannon Nicosia practices at 200 Scenery Dr, State College, PA 16801. The listed phone number is (570) 271-6516.

What is Shannon Nicosia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Nicosia enrolled in Medicare?

Yes. Shannon Nicosia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Nicosia was last updated on November 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.