DR. JACQUELINE MARIE SHANNON OD
NPI 1215862255
Optometrist in Alexandria, VA
About Dr. Jacqueline Marie Shannon Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE MARIE SHANNON OD (NPI 1215862255) is an individual optometrist in Alexandria, Virginia, licensed in Virginia (0618003649) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2026).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jacqueline Marie Shannon Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alexandria, VA 22314
- Reassigned Medicare billing, District of Columbia enrollment
- 2 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 22314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacqueline Shannon's NPI number?
The NPI number for Jacqueline Shannon is 1215862255. It was assigned to this individual provider in the NPPES registry on June 12, 2026.
Where is Jacqueline Shannon located?
Jacqueline Shannon practices at 3223 Duke St Ste B3, Alexandria, VA 22314. The listed phone number is (703) 813-8997.
What is Jacqueline Shannon's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jacqueline Shannon enrolled in Medicare?
Yes. Jacqueline Shannon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacqueline Shannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Shannon reassigns Medicare benefits to Nova Eye Care Center, LLC (Alexandria, VA). 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 Jacqueline Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Shannon accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Jacqueline 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.
When was this NPI record last updated?
The NPPES record for Jacqueline Shannon was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jacqueline Marie Shannon, OD · NPI 1215862255
Optometrist provider in Alexandria, Virginia. Individual provider, active in the CMS NPPES registry since June 12, 2026.
## Identity
- **NPI:** 1215862255 (Entity type: Individual)
- **Enumerated:** June 12, 2026
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 0618003649 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3223 DUKE ST STE B3, Alexandria, VA 22314-4555
- **Phone:** (703) 813-8997
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Nova Eye Care Center, LLC (NPI 1568612190, Alexandria, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2026
## Record status
- **NPPES last updated:** June 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215862255) · Data from the CMS NPPES public registry.