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SHANNON L. VITELLI DO
NPI 1568404143
Pediatrics in Collegeville, PA

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
17 IRON BRIDGE DR STE 100, COLLEGEVILLE, PA 19426(484) 622-6340(484) 622-6357 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 30, 2021, Jun 5, 2020 (2 updates tracked since 2020).

About Shannon L. Vitelli Do NPPES

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

SHANNON L. VITELLI DO (NPI 1568404143) is an individual pediatrics provider in Collegeville, Pennsylvania, licensed in Pennsylvania (OS011868) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1568404143
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANNON L. VITELLICredential: DO
Location Address17 IRON BRIDGE DR STE 100Collegeville, PA 19426-2042
Mailing Address17 Iron Bridge Dr, Ste 100Collegeville, PA 19426-2042 · (610) 489-5782 · Fax (610) 489-6418
Phone(484) 622-6340
Fax(484) 622-6357
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2000
Enumeration DateJune 11, 2006
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
✔ NPI 1568404143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · OS011868
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
17 IRON BRIDGE DR STE 100, Collegeville, PA 19426
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Other Identifiers 10

Other11212082PA · Caqh Id#
Other7402478PA · Aetna Ppo
Other0019807030001PA · Omap
Other1523072PA · Highmark Blue Shield
Other30010139PA · Keystone Mercy
Other2209467000PA · Ibc - Pc/khpe
Other2209467000PA · Americhoice/intercounty
Other36156-OS011868PA · Health Partners
Other9514702PA · Cigna Hmo/ppo
Other3373024PA · Aetna Hmo

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 L. Vitelli Do 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 ID3072915453
PECOS Enrollment IDI20210707002862
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

2

Medicare enrollment records show Shannon Vitelli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fornance Physician Services, Inc.
Same address
Pediatrics
17 IRON BRIDGE DR STE 100
Collegeville, PA 19426
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 192 clinicians in this Medicare group
NPI 1235173238 (484) 622-6340
Einstein Community Health Associates, Inc
21 mi
Family Medicine
101 E OLNEY AVE, SUITE 400
Phila, PA 19120
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 289 clinicians in this Medicare group
NPI 1558316109 (215) 456-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19426 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 4

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

FORNANCE PHYSICIAN SERVICES, INC.
Pediatrics
17 IRON BRIDGE DR STE 100
COLLEGEVILLE, PA 19426
Montgomery County (484) 622-6340
DR. KERRY R KAUFFMAN M.D.
Pediatrics
17 IRON BRIDGE DR STE 100
COLLEGEVILLE, PA 19426
Montgomery County (484) 622-6340
DONALD R. BROGAN MD
Pediatrics
17 IRON BRIDGE DR STE 100
COLLEGEVILLE, PA 19426
Montgomery County (484) 622-6340
MRS. JENNIFER LYNN HUGHES RN MSN CPNP
Pediatrics
17 IRON BRIDGE DR STE 100
COLLEGEVILLE, PA 19426
Montgomery County (484) 622-6340

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 Vitelli's NPI number?

The NPI number for Shannon Vitelli is 1568404143. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Shannon Vitelli located?

Shannon Vitelli practices at 17 Iron Bridge Dr Ste 100, Collegeville, PA 19426. The listed phone number is (484) 622-6340.

What is Shannon Vitelli's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shannon Vitelli enrolled in Medicare?

Yes. Shannon Vitelli 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 Vitelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Vitelli reassigns Medicare benefits to 2 organizations: Fornance Physician Services, Inc. (Collegeville, PA) and Einstein Community Health Associates, Inc (Phila, PA). 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 Vitelli'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 Vitelli was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.