TRACEY LEAH SHANNON N.P.
NPI 1457580839
Nurse Practitioner - Adult Health in Hawthorne, NY

Q: What is Tracey Shannon's NPI number?

The NPI number for Tracey Shannon is 1457580839. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Q: What is Tracey Shannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Shannon was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 07, 2009PECOS EnrolledAccepts Medicare Assignment

19 BRADHURST AVE STE 3850S, HAWTHORNE, NY 10532(914) 909-6900(914) 493-2828 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2021, Jan 24, 2019 (2 updates tracked since 2019).

On this page

About Tracey Leah Shannon N.p. NPPES

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

TRACEY LEAH SHANNON N.P. (NPI 1457580839) is an individual adult health provider in Hawthorne, New York, licensed in New York (305147) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Westchester Medical Center, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1457580839

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameTRACEY LEAH SHANNONCredential: N.P.

Location Address19 BRADHURST AVE STE 3850SHawthorne, NY 10532

Mailing Address19 Bradhurst Ave Ste 3100nHawthorne, NY 10532-2140 · (914) 909-9018 · Fax (914) 909-9028

Phone(914) 909-6900

Fax(914) 493-2828

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 7, 2009

Last NPPES UpdateNovember 23, 20212 updates tracked since enumeration

NPPES CertifiedNovember 23, 2021

✔ NPI 1457580839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 305147

19 BRADHURST AVE STE 3850S, Hawthorne, NY 10532

Open in Google Maps ↗

Secondary Practice Location 1

Location 1520 E 70th St, Starr 425New York, NY 10021-9800 · Phone (212) 746-4857 · Fax (212) 746-6951

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

Tracey Leah Shannon N.p. 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 ID7810186475

PECOS Enrollment IDI20110112000853

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

40 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330234

Location100 Woods RdValhalla, NY 10595 · Westchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10532 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$53.35 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALKA RUBIN

Physician Assistant (Medical)