SHANNON ROBERTSON PEAK FNP-BC
NPI 1346012929
Nurse Practitioner - Family in Lynchburg, VA
About Shannon Robertson Peak Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON ROBERTSON PEAK FNP-BC (NPI 1346012929) is an individual family provider in Lynchburg, Virginia, licensed in Virginia (0024189504) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Robertson Peak Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Peak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arlington, VA 22203
- Reassigned Medicare billing, Virginia enrollment
- 1,315 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 24501 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 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LYNCHBURG, VA 24501
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 Peak's NPI number?
The NPI number for Shannon Peak is 1346012929. It was assigned to this individual provider in the NPPES registry on October 26, 2023.
Where is Shannon Peak located?
Shannon Peak practices at 2137 Lakeside Dr, Lynchburg, VA 24501. The listed phone number is (434) 404-7200.
What is Shannon Peak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Peak enrolled in Medicare?
Yes. Shannon Peak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Peak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Peak reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, 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 Shannon Peak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Peak was last updated on February 16, 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.
# Shannon Robertson Peak, FNP-BC · NPI 1346012929
Family physician in Lynchburg, Virginia. Individual provider, active in the CMS NPPES registry since October 26, 2023.
## Identity
- **NPI:** 1346012929 (Entity type: Individual)
- **Enumerated:** October 26, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024189504 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2137 LAKESIDE DR, Lynchburg, VA 24501-6806
- **Phone:** (434) 404-7200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Privia Medical Group, LLC (NPI 1013042480, Arlington, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1346012929) · Data from the CMS NPPES public registry.