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SHANNON ROSE LEE RDN
NPI 1699647628
Dietitian, Registered in Pittsford, NY

Active since September 19, 2025Accepts Medicare Assignment
1151 PITTSFORD VICTOR RD, PITTSFORD, NY 14534(585) 504-1925 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Rose Lee Rdn NPPES

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

SHANNON ROSE LEE RDN (NPI 1699647628) is an individual dietitian, registered in Pittsford, New York and active in the NPI registry since September 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1699647628
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHANNON ROSE LEECredential: RDN
Location Address1151 PITTSFORD VICTOR RDPittsford, NY 14534-3800
Mailing Address195 Oscawana Lake RdPutnam Valley, NY 10579-2600
Phone(585) 504-1925
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
✔ NPI 1699647628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1151 PITTSFORD VICTOR RD, Pittsford, NY 14534
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Rose Lee Rdn 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 ID5890283832
PECOS Enrollment IDI20251022001976

Medicare Billing Reassignment

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

Sarah Lynn Nutrition
61 mi
Dietitian, Registered
5100 W GENESEE ST
Camillus, NY 13031
  • Reassigned Medicare billing, New York enrollment
  • 50 clinicians in this Medicare group
NPI 1730851346 (315) 334-2306

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 14534 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
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHERYL SUE TATELMAN PHD
Psychologist
1151 PITTSFORD VICTOR RD, SUITE 120
PITTSFORD, NY 14534
Monroe County (585) 586-6390
SARAH GARDINER LCSW
Social Worker (Clinical)
1151 PITTSFORD VICTOR RD, 103
PITTSFORD, NY 14534
Monroe County (585) 953-8824
MRS. LAUREN AMAN LMHC
Counselor (Mental Health)
1151 PITTSFORD VICTOR RD, SUITE 103
PITTSFORD, NY 14534
Monroe County (585) 267-5461

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 Lee's NPI number?

The NPI number for Shannon Lee is 1699647628. It was assigned to this individual provider in the NPPES registry on September 19, 2025.

Where is Shannon Lee located?

Shannon Lee practices at 1151 Pittsford Victor Rd, Pittsford, NY 14534. The listed phone number is (585) 504-1925.

What is Shannon Lee's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Shannon Lee enrolled in Medicare?

Yes. Shannon Lee 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.

Which organization bills Medicare for Shannon Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Lee reassigns Medicare benefits to Sarah Lynn Nutrition (Camillus, NY). 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 Lee'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 Lee was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.