1. Home
  2. Directory
  3. Pennsylvania
  4. Doylestown
  5. Physician Assistant
  6. NPI Profile

SHANNON NICOLE FREDERICK PAC
NPI 1194987123
Physician Assistant - Medical in Doylestown, PA

Active since July 01, 2008PECOS Enrolled
14 MEMORIAL DR, SUITE A, DOYLESTOWN, PA 18901(215) 348-2992(215) 348-2052 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Nicole Frederick Pac NPPES

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

SHANNON NICOLE FREDERICK PAC (NPI 1194987123) is an individual medical provider in Doylestown, Pennsylvania, licensed in Pennsylvania (MA003232L) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194987123
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON NICOLE FREDERICKCredential: PAC
Location Address14 MEMORIAL DR, SUITE ADoylestown, PA 18901
Mailing Address1456 Ferry Rd, Ste 402Doylestown, PA 18901-2307 · (215) 348-2992 · Fax (215) 348-2052
Phone(215) 348-2992
Fax(215) 348-2052
Sole ProprietorYes
Enumeration DateJuly 1, 2008
Last NPPES UpdateApril 13, 2018
✔ NPI 1194987123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA003232L
14 MEMORIAL DR, Doylestown, PA 18901
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Nicole Frederick Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

DOYLESTOWN GYNECOLOGY
Nurse Practitioner (Obstetrics & Gynecology)
14 MEMORIAL DR, STE A
DOYLESTOWN, PA 18901
Bucks County (215) 348-2992

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 Frederick's NPI number?

The NPI number for Shannon Frederick is 1194987123. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Shannon Frederick located?

Shannon Frederick practices at 14 Memorial Dr Suite A, Doylestown, PA 18901. The listed phone number is (215) 348-2992.

What is Shannon Frederick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shannon Frederick enrolled in Medicare?

Yes. Shannon Frederick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Frederick was last updated on April 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.