SHANNON KASPER DNP
NPI 1457712101
Nurse Practitioner - Gerontology in Rochester, NY

Active since March 09, 2016PECOS EnrolledAccepts Medicare Assignment
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4518(585) 336-5113 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Kasper Dnp NPPES

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

SHANNON KASPER DNP (NPI 1457712101) is an individual gerontology provider in Rochester, New York, licensed in New York (307673) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1457712101
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHANNON KASPERCredential: DNP
Location Address1425 PORTLAND AVERochester, NY 14621-3011
Mailing Address4993 Tim Tam TrlBlasdell, NY 14219-2633 · (716) 998-1405
Fax(585) 336-5113
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 9, 2016
Last NPPES UpdateDecember 4, 2019
✔ NPI 1457712101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NY · 307673
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 307673 (NY)
1425 PORTLAND AVE, Rochester, NY 14621

Secondary Practice Locations 3

Location 130 Hagen Dr Ste 120Rochester, NY 14625-2658 · Phone (585) 922-5300 · Fax (585) 922-0450
Location 21445 Portland Ave Ste 108Rochester, NY 14621-3008 · Phone (585) 922-5550 · Fax (585) 922-5950
Location 3515 Abbott RdBuffalo, NY 14220-1700 · Phone (716) 828-3123

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 Kasper Dnp 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 ID9133411101
PECOS Enrollment IDI20160712001806
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

7

Medicare enrollment records show Shannon Kasper reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Family Medicine
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
Neurological Surgery
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 81 clinicians in this Medicare group
Orthopaedic Surgery
192 PARK CLUB LANE, SUITE 100
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 332 clinicians in this Medicare group
General Acute Care Hospital
2605 HARLEM RD
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 515 clinicians in this Medicare group
Neurology
565 ABBOTT RD
Buffalo, NY 14220
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Mercy Hospital Of Buffalo
  • 499 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.

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621

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 Kasper's NPI number?

The NPI number for Shannon Kasper is 1457712101. It was assigned to this individual provider in the NPPES registry on March 9, 2016.

Where is Shannon Kasper located?

Shannon Kasper practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4518.

What is Shannon Kasper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shannon Kasper enrolled in Medicare?

Yes. Shannon Kasper 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 Kasper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Kasper reassigns Medicare benefits to 7 organizations: Rochester General Hospital (Rochester, NY), Western New York Medical Practice P.C. (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY), University Of Rochester Neurosurgery Group (Rochester, NY), Trinity Medical Wny PC (Williamsville, NY) and 2 more organizations, listed in the Medicare section above. 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 Kasper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shannon Kasper affiliated with any hospitals?

According to CMS data, Shannon Kasper is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Kasper was last updated on December 4, 2019. 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.