IAN SHANNON
NPI 1679461818
Nurse Practitioner in Rochester, NY

Active since June 26, 2025PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE FL 3, ROCHESTER, NY 14642(585) 275-2901 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ian Shannon NPPES

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

IAN SHANNON (NPI 1679461818) is an individual nurse practitioner in Rochester, New York, licensed in New York (312441) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679461818
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameIAN SHANNON
Location Address601 ELMWOOD AVE FL 3Rochester, NY 14642-0001
Mailing Address601 Elmwood AveRochester, NY 14642-0001 · (585) 275-2100
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 26, 2025
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
NPI 1679461818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 312441
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 795387 (NY)
601 ELMWOOD AVE FL 3, Rochester, NY 14642

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

Ian Shannon 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 ID941706055
PECOS Enrollment IDI20250929001966
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 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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.

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 Ian Shannon's NPI number?

The NPI number for Ian Shannon is 1679461818. It was assigned to this individual provider in the NPPES registry on June 26, 2025.

Where is Ian Shannon located?

Ian Shannon practices at 601 Elmwood Ave Fl 3, Rochester, NY 14642. The listed phone number is (585) 275-2901.

What is Ian Shannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ian Shannon enrolled in Medicare?

Yes. Ian Shannon 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.

Is Ian Shannon affiliated with any hospitals?

According to CMS data, Ian Shannon is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ian Shannon was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.