SHANNON NICOLE MILLER N.P.
NPI 1689008500
Nurse Practitioner in Boston, MA

Active since August 27, 2013PECOS Enrolled
450 BROOKLINE AVE, BOSTON, MA 02215(617) 632-4218(617) 582-8608 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Nicole Miller N.p. NPPES

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

SHANNON NICOLE MILLER N.P. (NPI 1689008500) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (RN2261243) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689008500
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON NICOLE MILLERCredential: N.P.
Location Address450 BROOKLINE AVEBoston, MA 02215-5450
Mailing Address450 Brookline AveBoston, MA 02215-5450 · (617) 632-4218 · Fax (617) 582-8608
Fax(617) 582-8608
Sole ProprietorNo
Enumeration DateAugust 27, 2013
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1689008500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2261243
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.
450 BROOKLINE AVE, Boston, MA 02215

Other Names 1

Former Name (1)Shannon Nicole Corcoran Rn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Nicole Miller N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
2014 WASHINGTON STREET
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • 992 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Physician Assistant
450 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Counselor (Mental Health)
450 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE, DANA 2058
BOSTON, MA 02215
Nurse Practitioner
450 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215

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 Miller's NPI number?

The NPI number for Shannon Miller is 1689008500. It was assigned to this individual provider in the NPPES registry on August 27, 2013. The provider is also known as Shannon Nicole Corcoran Rn.

Where is Shannon Miller located?

Shannon Miller practices at 450 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 632-4218.

What is Shannon Miller's specialty?

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

Is Shannon Miller enrolled in Medicare?

Yes. Shannon Miller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Miller reassigns Medicare benefits to Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA). 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 Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Miller was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.