DR. SHANNON CLEARY DNP, FNP, ENP
NPI 1356117295
Nurse Practitioner - Family in Atlanta, GA
About Dr. Shannon Cleary Dnp, Fnp, Enp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON CLEARY DNP, FNP, ENP (NPI 1356117295) is an individual family provider in Atlanta, Georgia, licensed in Georgia (F01250479) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and maintains a secondary practice location in Hinsdale.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shannon Cleary Dnp, Fnp, Enp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Cleary reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Bolingbrook, IL 60440
- Reassigned Medicare billing, Illinois enrollment
- 187 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventist La Grange Memorial Hospital
Acute Care Hospitals · La Grange, ILAdventist Hinsdale Hospital
Acute Care Hospitals · Hinsdale, ILUchicago Medicine Adventhealth Bolingbrook
Acute Care Hospitals · Bolingbrook, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30322 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30322
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 Cleary's NPI number?
The NPI number for Shannon Cleary is 1356117295. It was assigned to this individual provider in the NPPES registry on December 1, 2023.
Where is Shannon Cleary located?
Shannon Cleary practices at 1520 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 727-7980.
What is Shannon Cleary's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Cleary enrolled in Medicare?
Yes. Shannon Cleary 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.
Which organizations bill Medicare for Shannon Cleary's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Cleary reassigns Medicare benefits to 2 organizations: Carle Health Medical Group (Urbana, IL) and Illinois Emergency Medicine Specialists, LLC (Bolingbrook, IL). Each 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 Cleary's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shannon Cleary affiliated with any hospitals?
According to CMS data, Shannon Cleary is affiliated with Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital and Uchicago Medicine Adventhealth Bolingbrook.
When was this NPI record last updated?
The NPPES record for Shannon Cleary was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Shannon Cleary, DNP, FNP, ENP · NPI 1356117295
Family physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since December 1, 2023.
## Identity
- **NPI:** 1356117295 (Entity type: Individual)
- **Enumerated:** December 1, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F01250479 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1520 CLIFTON RD NE, Atlanta, GA 30322-1733
- **Phone:** (404) 727-7980
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carle Health Medical Group (NPI 1154653947, Urbana, IL); Illinois Emergency Medicine Specialists, LLC (NPI 1003150962, Bolingbrook, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** August 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356117295) · Data from the CMS NPPES public registry.