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SHANNON MARIE MCDERMOTT PA
NPI 1417767476
Physician Assistant in Spring Lake, NJ

Active since January 11, 2025PECOS EnrolledAccepts Medicare Assignment
211 LORRAINE AVE, SPRING LAKE, NJ 07762(908) 821-5140 Get Directions Write a Review

NPPES record last updated: January 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Marie Mcdermott Pa NPPES

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

SHANNON MARIE MCDERMOTT PA (NPI 1417767476) is an individual physician assistant in Spring Lake, New Jersey and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417767476
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON MARIE MCDERMOTTCredential: PA
Location Address211 LORRAINE AVESpring Lake, NJ 07762-1714
Mailing Address211 Lorraine AveSpring Lake, NJ 07762-1714 · (908) 821-5140
Phone(908) 821-5140
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 11, 2025
NPPES CertifiedJanuary 10, 2025
✔ NPI 1417767476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
211 LORRAINE AVE, Spring Lake, NJ 07762
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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 Marie Mcdermott Pa 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 ID3971088279
PECOS Enrollment IDI20260403000374
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.

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07762 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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 Mcdermott's NPI number?

The NPI number for Shannon Mcdermott is 1417767476. It was assigned to this individual provider in the NPPES registry on January 11, 2025.

Where is Shannon Mcdermott located?

Shannon Mcdermott practices at 211 Lorraine Ave, Spring Lake, NJ 07762. The listed phone number is (908) 821-5140.

What is Shannon Mcdermott's specialty?

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

Is Shannon Mcdermott enrolled in Medicare?

Yes. Shannon Mcdermott 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.

Is Shannon Mcdermott affiliated with any hospitals?

According to CMS data, Shannon Mcdermott is affiliated with Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Mcdermott was last updated on January 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.