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SHANNON O'DONNELL LOFGREN PA-C
NPI 1215356811
Physician Assistant in Clearwater, FL

Active since April 10, 2014PECOS Enrolled
455 PINELLAS ST, CLEARWATER, FL 33756(305) 322-6263 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon O'donnell Lofgren Pa-c NPPES

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

SHANNON O'DONNELL LOFGREN PA-C (NPI 1215356811) is an individual physician assistant in Clearwater, Florida, licensed in North Carolina (0010-04883) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1215356811
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON O'DONNELL LOFGRENCredential: PA-C
Location Address455 PINELLAS STClearwater, FL 33756-3354
Mailing Address3073 Hampton CtClearwater, FL 33761-2006 · (305) 322-6263
Phone(305) 322-6263
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 10, 2014
Last NPPES UpdateOctober 8, 2019
✔ NPI 1215356811 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 NC · 0010-04883
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.
455 PINELLAS ST, Clearwater, FL 33756
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Other Names 1

Former Name (1)Shannon Michelle O'donnell Pa-c

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 O'donnell Lofgren Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072021427
PECOS Enrollment IDI20250806000040
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

KERRIE MICHELLE COFFMAN ARNP
Nurse Practitioner
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1992
DAVID DANIEL DIETERICH DO
Internal Medicine (Cardiovascular Disease)
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1991
OLIVIA ANNE O'BERRY PA-C
Physician Assistant
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911
MRS. LAURA WALLACE ARNP
Nurse Practitioner
455 PINELLAS ST, SUITE #400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911
MR. IAN WETHERALL PA-C
Physician Assistant (Surgical)
455 PINELLAS ST, SUITE 320
CLEARWATER, FL 33756
Pinellas County (727) 446-2273
DR. JOHN BROOKE TOURTELOT M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
455 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 461-8300
PAUL LESLIE PHILLIPS MD
Internal Medicine (Cardiovascular Disease)
455 PINELLAS ST, STE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911
MARY CHRISTINE LENYO ARNP
Nurse Practitioner
455 PINELLAS ST, STE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911

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 Lofgren's NPI number?

The NPI number for Shannon Lofgren is 1215356811. It was assigned to this individual provider in the NPPES registry on April 10, 2014. The provider is also known as Shannon Michelle O'donnell Pa-C.

Where is Shannon Lofgren located?

Shannon Lofgren practices at 455 Pinellas St, Clearwater, FL 33756. The listed phone number is (305) 322-6263.

What is Shannon Lofgren's specialty?

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

Is Shannon Lofgren enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Lofgren was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.