SHANNON T EVELLIS PA-C
NPI 1174810808
Physician Assistant in Queensbury, NY

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment
161 CAREY RD, QUEENSBURY, NY 12804(518) 824-8610(518) 824-2390 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2025, Dec 20, 2024, Dec 7, 2022 and 3 more (6 updates tracked since 2016).

About Shannon T Evellis Pa-c NPPES

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

SHANNON T EVELLIS PA-C (NPI 1174810808) is an individual physician assistant in Queensbury, New York, licensed in New York (014844) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174810808
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON T EVELLISCredential: PA-C
Location Address161 CAREY RDQueensbury, NY 12804-7821
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Fax(518) 824-2390
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2011
Enumeration DateJuly 1, 2011
Last NPPES UpdateMay 23, 20256 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
NPI 1174810808 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 NY · 014844
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.

161 CAREY RD, Queensbury, NY 12804

Other Names 1

Former Name (1)Shannon T Evens Rpa-c

Secondary Practice Locations 2

Location 1100 Broad StGlens Falls, NY 12801-4349 · Phone (518) 792-2223 · Fax (518) 792-8231
Location 23767 Main StWarrensburg, NY 12885-1890 · Phone (518) 623-2844 · Fax (518) 623-3416

Other Identifiers 1

Medicaid03415487NY

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 T Evellis 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 ID4688843428
PECOS Enrollment IDI20110811000400
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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
20 services20 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
16 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services12 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12804 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.45 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
1 supplier11 claims330 services$2.85 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$2.38 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$51.48 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers12 claims12 services$19.38 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers16 claims96 services$2.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
161 CAREY RD, KINNEY DRUGS
QUEENSBURY, NY 12804
Internal Medicine
161 CAREY RD
QUEENSBURY, NY 12804
Pharmacist
161 CAREY RD
QUEENSBURY, NY 12804
Obstetrics & Gynecology
161 CAREY RD
QUEENSBURY, NY 12804
Internal Medicine (Rheumatology)
161 CAREY RD
QUEENSBURY, NY 12804
Nurse Practitioner (Family)
161 CAREY RD
QUEENSBURY, NY 12804
Family Medicine
161 CAREY RD
QUEENSBURY, NY 12804
Internal Medicine
161 CAREY RD
QUEENSBURY, NY 12804

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 Evellis's NPI number?

The NPI number for Shannon Evellis is 1174810808. It was assigned to this individual provider in the NPPES registry on July 1, 2011. The provider is also known as Shannon T Evens Rpa-C.

Where is Shannon Evellis located?

Shannon Evellis practices at 161 Carey Rd, Queensbury, NY 12804. The listed phone number is (518) 824-8610.

What is Shannon Evellis's specialty?

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

Is Shannon Evellis enrolled in Medicare?

Yes. Shannon Evellis 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 Evellis affiliated with any hospitals?

According to CMS data, Shannon Evellis is affiliated with Albany Medical Center Hospital and Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Evellis was last updated on May 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.