MS. SHANNON L. CHURCH PA
NPI 1164750105
Physician Assistant - Surgical in Springfield, MA
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, is affiliated with Mercy Medical Ctr, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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.
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, MAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Church's NPI number?
The NPI number for Shannon Church is 1164750105. It was assigned to this individual provider in the NPPES registry on December 3, 2009. The provider is also known as Ms. Shannon L. Lambert.
Where is Shannon Church located?
Shannon Church practices at 271 Carew St, Springfield, MA 01104. The listed phone number is (413) 748-9349.
What is Shannon Church's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Shannon Church enrolled in Medicare?
Yes. Shannon Church 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 Church affiliated with any hospitals?
According to CMS data, Shannon Church is affiliated with Mercy Medical Ctr.
When was this NPI record last updated?
The NPPES record for Shannon Church was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Shannon L. Church, PA · NPI 1164750105
Surgical physician in Springfield, Massachusetts. Individual provider, active in the CMS NPPES registry since December 3, 2009.
## Identity
- **NPI:** 1164750105 (Entity type: Individual)
- **Enumerated:** December 3, 2009
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA3911 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 271 CAREW ST, Springfield, MA 01104-2377
- **Phone:** (413) 748-9349 · **Fax:** (413) 452-6080
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** May 18, 2016
- **Other identifiers:** Other PA3911 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164750105) · Data from the CMS NPPES public registry.