SHANNON WOUND CARE CONSULTANTS LLC
NPI 1649405960
Nurse Practitioner - Family in Chicora, PA

Active since May 17, 2009
318 CONERTY RD, CHICORA, PA 16025(724) 355-3060 Get Directions Write a Review

NPPES record last updated: July 11, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Wound Care Consultants Llc NPPES

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

SHANNON WOUND CARE CONSULTANTS LLC (NPI 1649405960) is a healthcare organization registered as a family in Chicora, Pennsylvania and active in the NPI registry since May 2009. The organization lists Mary Mcvaugh Shannon, President, as its authorized official.

NPPES Registry Identity

NPI1649405960
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSHANNON WOUND CARE CONSULTANTS LLC
Location Address318 CONERTY RDChicora, PA 16025-1820
Mailing Address318 Conerty RdChicora, PA 16025-1820 · (724) 355-3060
Organization SubpartNo
Authorized OfficialMary Mcvaugh ShannonPresident · (724) 355-3060
Enumeration DateMay 17, 2009
Last NPPES UpdateJuly 11, 2009
✔ NPI 1649405960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP007840
318 CONERTY RD, Chicora, PA 16025

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Wound Care Consultants Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shannon Wound Care Consultants LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1104816073
1 NOLTE DR
Kittanning, PA 16201
(724) 543-8536
✔ PECOS✔ Accepts Medicare10.0 mi

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 Wound Care Consultants LLC's NPI number?

The NPI number for Shannon Wound Care Consultants LLC is 1649405960. It was assigned to this organization in the NPPES registry on May 17, 2009.

Where is Shannon Wound Care Consultants LLC located?

Shannon Wound Care Consultants LLC is located at 318 Conerty Rd, Chicora, PA 16025. The listed phone number is (724) 355-3060.

What is Shannon Wound Care Consultants LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Wound Care Consultants LLC enrolled in Medicare?

Yes. Shannon Wound Care Consultants LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shannon Wound Care Consultants LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shannon Wound Care Consultants LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shannon Wound Care Consultants LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shannon Wound Care Consultants LLC 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 Wound Care Consultants LLC was last updated on July 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.