SHANNON ROSE DI VIRGILIO
NPI 1629895669
Counselor - Professional in Memphis, TN
About Shannon Rose Di Virgilio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON ROSE DI VIRGILIO (NPI 1629895669) is an individual professional provider in Memphis, Tennessee, licensed in Tennessee (7013) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Rose Di Virgilio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Di Virgilio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Germantown, TN 38138
- Reassigned Medicare billing, Tennessee enrollment
- 5 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.
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 Di Virgilio's NPI number?
The NPI number for Shannon Di Virgilio is 1629895669. It was assigned to this individual provider in the NPPES registry on September 23, 2024.
Where is Shannon Di Virgilio located?
Shannon Di Virgilio practices at 324 Night Sail Dr N Apt 301, Memphis, TN 38103. The listed phone number is (706) 889-0383.
What is Shannon Di Virgilio's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shannon Di Virgilio enrolled in Medicare?
Yes. Shannon Di Virgilio is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Di Virgilio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Di Virgilio reassigns Medicare benefits to Restore Therapy Group (Germantown, TN). 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 Di Virgilio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Di Virgilio accept?
Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Shannon Di Virgilio 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.
When was this NPI record last updated?
The NPPES record for Shannon Di Virgilio was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shannon Rose Di Virgilio · NPI 1629895669
Professional provider in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1629895669 (Entity type: Individual)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 7013 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 324 NIGHT SAIL DR N APT 301, Memphis, TN 38103-0010
- **Phone:** (706) 889-0383
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Restore Therapy Group (NPI 1740066331, Germantown, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629895669) · Data from the CMS NPPES public registry.