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SHANNA M GANNON PA-C
NPI 1639403892
Physician Assistant - Surgical in Hamden, CT

Active since September 21, 2009PECOS EnrolledAccepts Medicare Assignment
90.74/100
CMS Quality Rating
2200 WHITNEY AVE STE 270, HAMDEN, CT 06518(203) 281-7000 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2022, May 22, 2019 (2 updates tracked since 2019).

About Shanna M Gannon Pa-c NPPES

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

SHANNA M GANNON PA-C (NPI 1639403892) is an individual surgical provider in Hamden, Connecticut, licensed in Connecticut (2318) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1639403892
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHANNA M GANNONCredential: PA-C
Location Address2200 WHITNEY AVE STE 270Hamden, CT 06518-3694
Mailing Address2200 Whitney Ave Ste 270Hamden, CT 06518-3694 · (203) 281-7000
Phone(203) 281-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 21, 2009
Last NPPES UpdateFebruary 14, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
✔ NPI 1639403892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 2318
2200 WHITNEY AVE STE 270, Hamden, CT 06518
Open in Google Maps ↗

Other Names 1

Former Name (1)Shanna Nicole Miller Pa

Other Identifiers 1

Medicaid003023181CT

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

Shanna M Gannon Pa-c 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 ID3577602952
PECOS Enrollment IDI20091124000272
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services38 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
40 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients

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.

90.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.27
Promoting Interoperability100
Improvement Activities40
Cost58.92

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers25 claims5,180 services$1.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shanna Gannon's NPI number?

The NPI number for Shanna Gannon is 1639403892. It was assigned to this individual provider in the NPPES registry on September 21, 2009. The provider is also known as Shanna Nicole Miller PA.

Where is Shanna Gannon located?

Shanna Gannon practices at 2200 Whitney Ave Ste 270, Hamden, CT 06518. The listed phone number is (203) 281-7000.

What is Shanna Gannon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shanna Gannon enrolled in Medicare?

Yes. Shanna Gannon 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.

When was this NPI record last updated?

The NPPES record for Shanna Gannon was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.