MS. SHANNON L. CHURCH PA
NPI 1164750105
Physician Assistant - Surgical in Springfield, MA

Active since December 03, 2009PECOS EnrolledAccepts Medicare Assignment
271 CAREW ST, SPRINGFIELD, MA 01104(413) 748-9349(413) 452-6080 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Shannon L. Church Pa NPPES

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

MS. SHANNON L. CHURCH PA (NPI 1164750105) is an individual surgical provider in Springfield, Massachusetts, licensed in Massachusetts (PA3911) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is affiliated with Mercy Medical Ctr.

NPPES Registry Identity

NPI1164750105
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. SHANNON L. CHURCHCredential: PA
Location Address271 CAREW STSpringfield, MA 01104-2377
Mailing Address271 Carew StSpringfield, MA 01104-2377 · (413) 748-9349 · Fax (413) 452-6080
Fax(413) 452-6080
Sole ProprietorNo
Enumeration DateDecember 3, 2009
Last NPPES UpdateMay 18, 2016
NPI 1164750105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MA · PA3911
271 CAREW ST, Springfield, MA 01104

Other Names 1

Former Name (1)Ms. Shannon L. Lambert

Other Identifiers 1

OtherPA3911MA · Ma Pa License

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

Ms. Shannon L. Church 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 ID5991736217
PECOS Enrollment IDI20100107000183
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.

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
271 CAREW ST
SPRINGFIELD, MA 01104
Radiology (Radiation Oncology)
271 CAREW ST
SPRINGFIELD, MA 01104
Obstetrics & Gynecology (Maternal & Fetal Medicine)
271 CAREW ST, MERCY INPATIENT MEDICAL ASSOCIATES
SPRINGFIELD, MA 01104
Pediatrics
271 CAREW ST
SPRINGFIELD, MA 01104
Radiology (Diagnostic Radiology)
271 CAREW ST
SPRINGFIELD, MA 01104
Internal Medicine
271 CAREW ST
SPRINGFIELD, MA 01104
Emergency Medicine
271 CAREW ST
SPRINGFIELD, MA 01104
Internal Medicine
271 CAREW ST
SPRINGFIELD, MA 01104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164750105, enumerated as an "individual" on December 03, 2009.

The provider is located at 271 CAREW ST SPRINGFIELD, MA 01104 and the phone number is (413) 748-9349.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Shannon Church is affiliated with: MERCY MEDICAL CTR.