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KATHRYN SHANNON PA-C
NPI 1154795037
Physician Assistant in Chicago, IL

Active since November 16, 2015PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
259 E ERIE ST FL 13, CHICAGO, IL 60611(312) 695-6800(312) 472-4887 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Nov 16, 2015 (2 updates tracked since 2015).

About Kathryn Shannon Pa-c NPPES

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

KATHRYN SHANNON PA-C (NPI 1154795037) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.005701) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1154795037
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHRYN SHANNONCredential: PA-C
Location Address259 E ERIE ST FL 13Chicago, IL 60611-3926
Mailing Address259 E Erie St Fl 13Chicago, IL 60611-3926 · (312) 695-6800 · Fax (312) 472-4887
Phone(312) 695-6800
Fax(312) 472-4887
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 16, 2015
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1154795037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.005701
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
259 E ERIE ST FL 13, Chicago, IL 60611
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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

Kathryn Shannon Pa-c 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 ID4688975360
PECOS Enrollment IDI20151222002311
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.

Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
26 services26 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

JEREMY LARVA PA-C
Physician Assistant
259 E ERIE ST FL 13
CHICAGO, IL 60611
Cook County (312) 695-6800
KATHERINE S MCCROSSEN
Physician Assistant
259 E ERIE ST FL 13
CHICAGO, IL 60611
Cook County (312) 695-6800
GUIDO MARRA MD
Orthopaedic Surgery
259 E ERIE ST FL 13
CHICAGO, IL 60611
Cook County (312) 695-6800
MICHAEL D STOVER MD
Orthopaedic Surgery
259 E ERIE ST FL 13
CHICAGO, IL 60611
Cook County (312) 695-6800
MR. JOSEPH THOMAS BOUTET PA-C
Physician Assistant
259 E ERIE ST FL 13
CHICAGO, IL 60611
Cook County (312) 695-6800
DR. STACEY L OAKS DPM
Podiatrist
259 E ERIE ST FL 13
CHICAGO, IL 60611
Cook County (312) 695-6800
REBECKA M SCHMIDT PA-C
Physician Assistant
259 E ERIE ST FL 13
CHICAGO, IL 60611
Cook County (312) 695-6800
CALVIN K IP DPT
Physical Therapist
259 E ERIE ST FL 13
CHICAGO, IL 60611
Cook County (312) 695-6800

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 Kathryn Shannon's NPI number?

The NPI number for Kathryn Shannon is 1154795037. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Kathryn Shannon located?

Kathryn Shannon practices at 259 E Erie St Fl 13, Chicago, IL 60611. The listed phone number is (312) 695-6800.

What is Kathryn Shannon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kathryn Shannon enrolled in Medicare?

Yes. Kathryn 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 Kathryn Shannon affiliated with any hospitals?

According to CMS data, Kathryn Shannon is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kathryn Shannon was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.