SHANNON RYAN C-FNP
NPI 1194668798
Nurse Practitioner - Family in East Hampton, NY
About Shannon Ryan C-fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON RYAN C-FNP (NPI 1194668798) is an individual family provider in East Hampton, New York, licensed in New York (F03250406) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Ryan C-fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10003
- Reassigned Medicare billing, New York enrollment
- 8 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11937 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ryan's NPI number?
The NPI number for Shannon Ryan is 1194668798. It was assigned to this individual provider in the NPPES registry on April 10, 2026.
Where is Shannon Ryan located?
Shannon Ryan practices at 36 Talkhouse Walk, East Hampton, NY 11937. The listed phone number is (631) 377-2127.
What is Shannon Ryan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Ryan enrolled in Medicare?
Yes. Shannon Ryan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Ryan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Ryan reassigns Medicare benefits to Kathleen Vine MD PC (New York, NY). The 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 Shannon Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Ryan was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Shannon Ryan, C-FNP · NPI 1194668798
Family physician in East Hampton, New York. Individual provider, active in the CMS NPPES registry since April 10, 2026.
## Identity
- **NPI:** 1194668798 (Entity type: Individual)
- **Enumerated:** April 10, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F03250406 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 36 TALKHOUSE WALK, East Hampton, NY 11937-1894
- **Phone:** (631) 377-2127
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kathleen Vine MD PC (NPI 1942612866, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194668798) · Data from the CMS NPPES public registry.