SHANNON JAMES NP
NPI 1487296125
Nurse Practitioner - Family in Johnstown, PA
About Shannon James Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON JAMES NP (NPI 1487296125) is an individual family provider in Johnstown, Pennsylvania, licensed in Pennsylvania (SP020959) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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 James Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hyndman, PA 15545
- Reassigned Medicare billing, Pennsylvania enrollment
- 20 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.
Conemaugh Memorial Medical Center
Acute Care Hospitals · Johnstown, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNSTOWN, PA 15901
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 James's NPI number?
The NPI number for Shannon James is 1487296125. It was assigned to this individual provider in the NPPES registry on October 15, 2019.
Where is Shannon James located?
Shannon James practices at 227 Franklin St Ste 304, Johnstown, PA 15901. The listed phone number is (814) 634-4968.
What is Shannon James's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon James enrolled in Medicare?
Yes. Shannon James 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 organization bills Medicare for Shannon James's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon James reassigns Medicare benefits to Hyndman Area Health Center, Inc. (Hyndman, PA). The 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 James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon James accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shannon James 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.
Is Shannon James affiliated with any hospitals?
According to CMS data, Shannon James is affiliated with Conemaugh Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for Shannon James was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.