SHANNON ALYSE MACDONALD CNP
NPI 1336915479
Nurse Practitioner - Family in Boston, MA

Q: What is Shannon Macdonald's NPI number?

The NPI number for Shannon Macdonald is 1336915479. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Q: What is Shannon Macdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Macdonald was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 29, 2023PECOS EnrolledAccepts Medicare Assignment

1601 WASHINGTON ST, BOSTON, MA 02118(617) 425-2000(617) 425-2041 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Shannon Alyse Macdonald Cnp NPPES

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

SHANNON ALYSE MACDONALD CNP (NPI 1336915479) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN2300517) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336915479

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON ALYSE MACDONALDCredential: CNP

Location Address1601 WASHINGTON STBoston, MA 02118-1951

Mailing Address10 Gove StEast Boston, MA 02128-1920 · (617) 569-5800 · Fax (617) 568-4756

Phone(617) 425-2000

Fax(617) 425-2041

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 29, 2023

Last NPPES UpdateJune 5, 2024

NPPES CertifiedJune 5, 2024

✔ NPI 1336915479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MA · RN2300517

1601 WASHINGTON ST, Boston, MA 02118

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Shannon Alyse Macdonald Cnp 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.

PECOS PAC ID7618417072

PECOS Enrollment IDI20240911004536

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220031

Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

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.

NICAURY VICTORIA SUAZO ORTIZ RN

Registered Nurse