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SHANNON MARIE LAVIS PA
NPI 1255883310
Physician Assistant in Albany, NY

Active since October 25, 2016PECOS Enrolled
315 S MANNING BLVD, 0203 MCAULEY, ALBANY, NY 12208(518) 525-1550 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2021, Oct 10, 2019, Oct 25, 2016 (3 updates tracked since 2016).

About Shannon Marie Lavis Pa NPPES

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

SHANNON MARIE LAVIS PA (NPI 1255883310) is an individual physician assistant in Albany, New York, licensed in New York (020291) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255883310
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON MARIE LAVISCredential: PA
Location Address315 S MANNING BLVD, 0203 MCAULEYAlbany, NY 12208-1707
Mailing Address20 Willett St, Apt 4Albany, NY 12210-1183 · (570) 591-6416
Phone(518) 525-1550
Sole ProprietorNo
Enumeration DateOctober 25, 2016
Last NPPES UpdateMay 19, 20213 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1255883310 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 NY · 020291
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.
315 S MANNING BLVD, Albany, NY 12208
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Secondary Practice Locations 2

Location 1600 Northern BlvdAlbany, NY 12204-1004 · Phone (518) 471-3221
Location 22215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3300

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 Marie Lavis Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

ARUNIMA RAJBHANDARY MD
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1550
ST PETER'S LIFELINE
Emergency Response System Companies
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-6024
ABIGAIL N RUDASILL PHARM D
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1616
MARIA SOBIERAJ
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 381-6325
NICOLETTA SERAFINA PACILLI PA
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-5634
DR. SAHAR AMERY M.D.
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1550
DAVID JAHANGIR MD
Radiology (Diagnostic Radiology)
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1401
MRS. LYNN ANN CRAFT PA
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-5776

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 Lavis's NPI number?

The NPI number for Shannon Lavis is 1255883310. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Shannon Lavis located?

Shannon Lavis practices at 315 S Manning Blvd 0203 Mcauley, Albany, NY 12208. The listed phone number is (518) 525-1550.

What is Shannon Lavis's specialty?

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

Is Shannon Lavis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Lavis was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.