ELISSA MARIE SHANNON
NPI 1164799714
Nurse Anesthetist, Certified Registered in East Stroudsburg, PA

Active since November 28, 2011PECOS EnrolledAccepts Medicare Assignment
206 E BROWN ST, EAST STROUDSBURG, PA 18301(570) 421-4000(570) 476-3710 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elissa Marie Shannon NPPES

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

ELISSA MARIE SHANNON (NPI 1164799714) is an individual nurse anesthetist, certified registered in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (RN549918) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164799714
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameELISSA MARIE SHANNON
Location Address206 E BROWN STEast Stroudsburg, PA 18301-3006
Mailing Address68 S Service Rd, Suite 350Melville, NY 11747-2354 · (516) 945-3000 · Fax (516) 945-3131
Fax(570) 476-3710
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 28, 2011
✔ NPI 1164799714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in PA · RN549918
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
206 E BROWN ST, East Stroudsburg, PA 18301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elissa Marie Shannon 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 ID2769659994
PECOS Enrollment IDI20120111000632
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Elissa Shannon reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
237 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Urgent Care
187 COUNTY ROAD 519 STE 1
Belvidere, NJ 07823
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 528 clinicians in this Medicare group
Anesthesiology
185 ROSEBERRY ST
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • 67 clinicians in this Medicare group
Anesthesiology
801 OSTRUM ST
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 290 clinicians in this Medicare group
Anesthesiology
100 E LANCASTER AVE
Wynnewood, PA 19096
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 489 clinicians in this Medicare group
Anesthesiology
1212 BALTIMORE PIKE STE 200
Chadds Ford, PA 19317
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 251 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
16 services16 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
15 services15 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390162
Location250 South 21st StreetEaston, PA 18042 · Northampton County
Emergency services

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Nurse Anesthetist, Certified Registered
206 E BROWN ST
E STROUDSBURG, PA 18301
Pharmacist
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Medical)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Obstetrics & Gynecology
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Speech-Language Pathologist
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Surgical)
206 E BROWN ST
EAST STROUDSBURG, PA 18301

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 Elissa Shannon's NPI number?

The NPI number for Elissa Shannon is 1164799714. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Where is Elissa Shannon located?

Elissa Shannon practices at 206 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (570) 421-4000.

What is Elissa Shannon's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Elissa Shannon enrolled in Medicare?

Yes. Elissa 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.

Which organizations bill Medicare for Elissa Shannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elissa Shannon reassigns Medicare benefits to 6 organizations: St. Luke's Physician Group, Inc. (East Stroudsburg, PA), St. Luke's Warren Physician Group, PC (Belvidere, NJ), Anesthesia Specialists Of Warren, LLC (Phillipsburg, NJ), Anesthesia Specialists Of Bethlehem, PC (Bethlehem, PA), United Anesthesia Services PC (Wynnewood, PA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elissa Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elissa Shannon accept?

Health plans from Oscar Health list Elissa Shannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elissa Shannon affiliated with any hospitals?

According to CMS data, Elissa Shannon is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, St Luke's Hospital - Easton Campus and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Elissa Shannon was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.