1. Home
  2. Directory
  3. New York
  4. New Hyde Park
  5. Physician Assistant
  6. NPI Profile

SHANNON MAUREEN O'CONNELL PA
NPI 1124636188
Physician Assistant - Medical in New Hyde Park, NY

Active since July 16, 2020PECOS EnrolledAccepts Medicare Assignment
270-05 270TH AVE, NEW HYDE PARK, NY 11040(718) 470-7000 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Maureen O'connell Pa NPPES

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

SHANNON MAUREEN O'CONNELL PA (NPI 1124636188) is an individual medical provider in New Hyde Park, New York and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124636188
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON MAUREEN O'CONNELLCredential: PA
Location Address270-05 270TH AVENew Hyde Park, NY 11040
Mailing Address101 Mckinley AveFranklin Square, NY 11010-3711 · (516) 965-4573
Phone(718) 470-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
✔ NPI 1124636188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
270-05 270TH AVE, New Hyde Park, NY 11040
Open in Google Maps ↗

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 Maureen O'connell Pa 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 ID6002224664
PECOS Enrollment IDI20210420000959
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.

Hospital Affiliations CMS Care Compare

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

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 O'connell's NPI number?

The NPI number for Shannon O'connell is 1124636188. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Shannon O'connell located?

Shannon O'connell practices at 270-05 270th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-7000.

What is Shannon O'connell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shannon O'connell enrolled in Medicare?

Yes. Shannon O'connell 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 O'connell affiliated with any hospitals?

According to CMS data, Shannon O'connell is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Shannon O'connell was last updated on July 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.