SHANNON JO BARTLETT PA
NPI 1417911140
Physician Assistant in Cincinnati, OH

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
4380 MALSBARY ROAD, SUITE 175, CINCINNATI, OH 45242(513) 272-0261(513) 272-0362 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Jo Bartlett Pa NPPES

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

SHANNON JO BARTLETT PA (NPI 1417911140) is an individual physician assistant in Cincinnati, Ohio, licensed in Ohio (50.001961) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1417911140
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON JO BARTLETTCredential: PA
Location Address4380 MALSBARY ROAD, SUITE 175Cincinnati, OH 45242-5644
Mailing Address4380 Malsbary Road, Suite 175Cincinnati, OH 45242-5644 · (513) 272-0261 · Fax (513) 272-0362
Fax(513) 272-0362
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 12, 2006
Last NPPES UpdateOctober 18, 2011
NPI 1417911140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OH · 50.001961 Licensed in OH · 50001961
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.
4380 MALSBARY ROAD, Cincinnati, OH 45242

Other Identifiers 4

OtherP00115908OH · Railroad Medicare Pin
Medicare UPINQ16716
Medicare PINBAPA22991OH
Medicare PINBAPA35901OH

Accepted 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 Jo Bartlett 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 ID6608853650
PECOS Enrollment IDI20040707000770
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
340 services106 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

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 Bartlett's NPI number?

The NPI number for Shannon Bartlett is 1417911140. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Shannon Bartlett located?

Shannon Bartlett practices at 4380 Malsbary Road Suite 175, Cincinnati, OH 45242. The listed phone number is (513) 272-0261.

What is Shannon Bartlett's specialty?

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

Is Shannon Bartlett enrolled in Medicare?

Yes. Shannon Bartlett 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.

What insurance does Shannon Bartlett accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and UnitedHealthcare list Shannon Bartlett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Bartlett was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.