MR. SHANNON I LEWIS PA C
NPI 1225083827
Physician Assistant in Portland, OR
About Mr. Shannon I Lewis Pa C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHANNON I LEWIS PA C (NPI 1225083827) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA01131) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Shannon I Lewis 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaiser Sunnyside Medical Center
Acute Care Hospitals · Clackamas, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
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 Lewis's NPI number?
The NPI number for Shannon Lewis is 1225083827. It was assigned to this individual provider in the NPPES registry on May 23, 2006.
Where is Shannon Lewis located?
Shannon Lewis practices at 4400 NE Halsey St Ste 102, Portland, OR 97213. The listed phone number is (503) 962-1000.
What is Shannon Lewis's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Shannon Lewis enrolled in Medicare?
Yes. Shannon Lewis 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.
What insurance does Shannon Lewis accept?
Health plans from Kaiser Permanente and Providence Health Plan list Shannon Lewis 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.
Is Shannon Lewis affiliated with any hospitals?
According to CMS data, Shannon Lewis is affiliated with Kaiser Sunnyside Medical Center.
When was this NPI record last updated?
The NPPES record for Shannon Lewis was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Shannon I Lewis, PA C · NPI 1225083827
Physician Assistant physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1225083827 (Entity type: Individual)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA01131 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4400 NE HALSEY ST STE 102, Portland, OR 97213-1545
- **Phone:** (503) 962-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** June 20, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1225083827) · Data from the CMS NPPES public registry.