MRS. SHANNON LEIGH DISHMAN FNP
NPI 1396204319
Nurse Practitioner - Family in Williamsburg, VA
About Mrs. Shannon Leigh Dishman Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANNON LEIGH DISHMAN FNP (NPI 1396204319) is an individual family provider in Williamsburg, Virginia, licensed in Virginia (0024177276) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and maintains a secondary practice location in Gloucester.
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Shannon Leigh Dishman Fnp 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 Reassignment
Medicare enrollment records show Shannon Dishman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Williamsburg, VA 23185
- Reassigned Medicare billing, Virginia enrollment
- 1,097 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Regional Medical Center
Acute Care Hospitals · Newport News, VARiverside Walter Reed Hospital
Acute Care Hospitals · Gloucester, VARiverside Doctors' Hospital Of Williamsburg
Acute Care Hospitals · Williamsburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23185 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.
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 Dishman's NPI number?
The NPI number for Shannon Dishman is 1396204319. It was assigned to this individual provider in the NPPES registry on March 19, 2019.
Where is Shannon Dishman located?
Shannon Dishman practices at 457 Mclaws Cir Ste 1, Williamsburg, VA 23185. The listed phone number is (757) 221-0750.
What is Shannon Dishman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Dishman enrolled in Medicare?
Yes. Shannon Dishman 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 organization bills Medicare for Shannon Dishman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Dishman reassigns Medicare benefits to Riverside Physician Services Inc (Williamsburg, 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 Dishman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shannon Dishman affiliated with any hospitals?
According to CMS data, Shannon Dishman is affiliated with Riverside Regional Medical Center, Riverside Walter Reed Hospital and Riverside Doctors' Hospital Of Williamsburg.
When was this NPI record last updated?
The NPPES record for Shannon Dishman was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Shannon Leigh Dishman, FNP · NPI 1396204319
Family physician in Williamsburg, Virginia. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1396204319 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024177276 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 457 MCLAWS CIR STE 1, Williamsburg, VA 23185-5645
- **Phone:** (757) 221-0750 · **Fax:** (757) 229-5168
## 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:** Riverside Physician Services Inc (NPI 1003118860, Williamsburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1396204319) · Data from the CMS NPPES public registry.