Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON MARLENE DENISOFF AGPCNP-BC
NPI 1629787916
Nurse Practitioner - Adult Health in Queensbury, NY

Q: What is Shannon Denisoff's NPI number?

The NPI number for Shannon Denisoff is 1629787916. It was assigned to this individual provider in the NPPES registry on November 16, 2022. The provider is also known as Shannon Marlene Farrell Agpcnp-Bc.

Q: What is Shannon Denisoff'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 Shannon Denisoff was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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 November 16, 2022PECOS Enrolled

161 CAREY RD, QUEENSBURY, NY 12804(518) 824-8610(518) 824-2390 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 7, 2026, May 9, 2025, Apr 30, 2024 and 1 more (4 updates tracked since 2022).

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About Shannon Marlene Denisoff Agpcnp-bc NPPES

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

SHANNON MARLENE DENISOFF AGPCNP-BC (NPI 1629787916) is an individual adult health provider in Queensbury, New York, licensed in New York (311144) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629787916

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHANNON MARLENE DENISOFFCredential: AGPCNP-BC

Location Address161 CAREY RDQueensbury, NY 12804-7821

Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300

Phone(518) 824-8610

Fax(518) 824-2390

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 16, 2022

Last NPPES UpdateOctober 7, 20264 updates tracked since enumeration

NPPES CertifiedOctober 7, 2026

✔ NPI 1629787916 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 · 311144

161 CAREY RD, Queensbury, NY 12804

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Other Names 1

Former Name (1)Shannon Marlene Farrell Agpcnp-bc

Other Identifiers 1

Medicaid07551980NY

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

Shannon Marlene Denisoff Agpcnp-bc 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 ID1951773548

PECOS Enrollment IDI20230208000448

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.

Hospital Affiliations CMS Care Compare

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330191

Location100 Park StreetGlens Falls, NY 12801 · Warren County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12804 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.

LYNN M KEIL PA-C

Physician Assistant