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SHANNON LEIGH NICHOLSON CFNP
NPI 1457507717
Nurse Practitioner - Family in Lansdowne, VA

Active since August 18, 2008PECOS EnrolledAccepts Medicare Assignment
19455 DEERFIELD AVE, SUITE 312, LANSDOWNE, VA 20176(703) 729-5010(703) 729-5833 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Leigh Nicholson Cfnp NPPES

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

SHANNON LEIGH NICHOLSON CFNP (NPI 1457507717) is an individual family provider in Lansdowne, Virginia, licensed in Virginia (0024167932) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1457507717
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON LEIGH NICHOLSONCredential: CFNP
Location Address19455 DEERFIELD AVE, SUITE 312Lansdowne, VA 20176-8100
Mailing Address19455 Deerfield Ave, Suite 312Lansdowne, VA 20176-8100 · (703) 729-5010 · Fax (703) 729-5833
Phone(703) 729-5010
Fax(703) 729-5833
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 18, 2008
Last NPPES UpdateJune 21, 2012
✔ NPI 1457507717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024167932
19455 DEERFIELD AVE, Lansdowne, VA 20176
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon Leigh Manger Dnp

Other Identifiers 2

Medicaid1457507717VA
Medicare PINVV4546AVA

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

Shannon Leigh Nicholson Cfnp 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 ID9638346083
PECOS Enrollment IDI20120125000663
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shannon Nicholson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The National Sports Medicine Institute,pc
Same address
Orthopaedic Surgery
19455 DEERFIELD AVE, SUITE 312
Lansdowne, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 4 clinicians in this Medicare group
NPI 1790815645 (703) 729-5010
Jefferson Memorial Hospital
25 mi
Internal Medicine
300 S PRESTON ST
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia enrollment
  • 110 clinicians in this Medicare group
NPI 1316364953 (304) 728-1669
City Hospital, Inc.
26 mi
Internal Medicine
207 E 5TH AVE
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia enrollment
  • 231 clinicians in this Medicare group
NPI 1336657493 (304) 725-6777

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 5

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.

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
70 services18 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
66 services21 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
24 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 patients
X-ray of both knees while standing 73565
An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LOUDOUN ENT & ALLERGY
Otolaryngology (Facial Plastic Surgery)
19455 DEERFIELD AVE, SUITE 312
LANSDOWNE, VA 20176
Loudoun County (703) 858-0303
DR. MEGAN BUREAU P.T.
Physical Therapist
19455 DEERFIELD AVE, STE 309
LANSDOWNE, VA 20176
Loudoun County (703) 729-5010
DOCTORS CHOICE HOME CARE INC
Home Health
19455 DEERFIELD AVE, SUITE 208
LANSDOWNE, VA 20176
Loudoun County (703) 723-4284
DR. SCOTT MICHAEL SIRLIN MD
Pediatrics (Pediatric Gastroenterology)
19455 DEERFIELD AVE, SUITE 205
LANSDOWNE, VA 20176
Loudoun County (703) 726-9930
DAVID CHARLES JOHNSON M.D.
Neuromusculoskeletal Medicine, Sports Medicine
19455 DEERFIELD AVE, SUITE 312
LANSDOWNE, VA 20176
Loudoun County (703) 729-5010
LOUDOUN CARDIOVASCULAR SPECIALISTS, PLLC
Internal Medicine (Interventional Cardiology)
19455 DEERFIELD AVE, SUITE 306
LANSDOWNE, VA 20176
Loudoun County (703) 723-5520
DR. HARMEET SINGH M.D.
Specialist
19455 DEERFIELD AVE, SUITE 211
LEESBURG, VA 20176
Loudoun County (703) 858-3700
NATIONAL SPORTS MEDICINE INSTITUTE
Clinic/Center (Physical Therapy)
19455 DEERFIELD AVE, SUITE 309
LANSDOWNE, VA 20176
Loudoun County (703) 729-5010

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 Nicholson's NPI number?

The NPI number for Shannon Nicholson is 1457507717. It was assigned to this individual provider in the NPPES registry on August 18, 2008. The provider is also known as Shannon Leigh Manger Dnp.

Where is Shannon Nicholson located?

Shannon Nicholson practices at 19455 Deerfield Ave Suite 312, Lansdowne, VA 20176. The listed phone number is (703) 729-5010.

What is Shannon Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Nicholson enrolled in Medicare?

Yes. Shannon Nicholson 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 Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Nicholson reassigns Medicare benefits to 3 organizations: The National Sports Medicine Institute,pc (Lansdowne, VA), Jefferson Memorial Hospital (Ranson, WV) and City Hospital, Inc. (Ranson, WV). 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 Nicholson'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 Nicholson was last updated on June 21, 2012. 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.