DR. SHANNON CONLEY PETERSON D.O.
NPI 1699975235
Obstetrics & Gynecology in Enfield, CT

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
170 HAZARD AVE, ENFIELD, CT 06082(860) 763-4001 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shannon Conley Peterson D.o. NPPES

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

DR. SHANNON CONLEY PETERSON D.O. (NPI 1699975235) is an individual obstetrics & gynecology provider in Enfield, Connecticut, licensed in Connecticut (049507) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1699975235
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SHANNON CONLEY PETERSONCredential: D.O.
Location Address170 HAZARD AVEEnfield, CT 06082-4520
Mailing Address170 Hazard AveEnfield, CT 06082-4520 · (860) 763-4001 · Fax (860) 749-5592
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 23, 2007
Last NPPES UpdateFebruary 1, 2013
✔ NPI 1699975235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CT · 049507
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
170 HAZARD AVE, Enfield, CT 06082

Accepted Insurance

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

Dr. Shannon Conley Peterson D.o. 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 ID4385815141
PECOS Enrollment IDI20110927000778
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 Reassignments

2

Medicare enrollment records show Shannon Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
Obstetrics & Gynecology
175 CAPITAL BLVD STE 300
Rocky Hill, CT 06067
  • Reassigned Medicare billing, Connecticut enrollment
  • 371 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.

Areas of Expertise CMS Part B claims 3

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
49 services49 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
46 services46 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06082 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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 11

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

Physician Assistant
170 HAZARD AVE
ENFIELD, CT 06082
Obstetrics & Gynecology
170 HAZARD AVE
ENFIELD, CT 06082
Obstetrics & Gynecology
170 HAZARD AVE
ENFIELD, CT 06082
Pediatrics (Adolescent Medicine)
170 HAZARD AVE
ENFIELD, CT 06082
Obstetrics & Gynecology
170 HAZARD AVE
ENFIELD, CT 06082
Obstetrics & Gynecology
170 HAZARD AVE
ENFIELD, CT 06082
Physician Assistant
170 HAZARD AVE
ENFIELD, CT 06082
Advanced Practice Midwife
170 HAZARD AVE
ENFIELD, CT 06082

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 Peterson's NPI number?

The NPI number for Shannon Peterson is 1699975235. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Shannon Peterson located?

Shannon Peterson practices at 170 Hazard Ave, Enfield, CT 06082. The listed phone number is (860) 763-4001.

What is Shannon Peterson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shannon Peterson enrolled in Medicare?

Yes. Shannon Peterson 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 organizations bill Medicare for Shannon Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Peterson reassigns Medicare benefits to 2 organizations: Trinity Health Of New England Provider Network Organization Inc (Hartford, CT) and Physicians For Women's Health LLC (Rocky Hill, CT). Each 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 Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield list Shannon Peterson 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 Peterson was last updated on February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.