SHANNON BARBARA SPENCER MD
NPI 1700371580
Colon & Rectal Surgery in Fort Wayne, IN
About Shannon Barbara Spencer Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON BARBARA SPENCER MD (NPI 1700371580) is an individual colon & rectal surgery provider in Fort Wayne, Indiana, licensed in Indiana (01101053A) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Pennsylvania State University College Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 3
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 Barbara Spencer Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Syracuse, NY 13057
- Reassigned Medicare billing, New York enrollment
- 11 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph's Hospital Health Center
Acute Care Hospitals · Syracuse, NYCrouse Hospital
Acute Care Hospitals · Syracuse, NYOswego Hospital
Acute Care Hospitals · Oswego, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
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 Spencer's NPI number?
The NPI number for Shannon Spencer is 1700371580. It was assigned to this individual provider in the NPPES registry on June 25, 2018.
Where is Shannon Spencer located?
Shannon Spencer practices at 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845. The listed phone number is (260) 266-5300.
What is Shannon Spencer's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Shannon Spencer enrolled in Medicare?
Yes. Shannon Spencer 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 Spencer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Spencer reassigns Medicare benefits to Colon Rectal Associates Of Central New York, LLP (East Syracuse, 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 Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shannon Spencer affiliated with any hospitals?
According to CMS data, Shannon Spencer is affiliated with St Joseph's Hospital Health Center, Crouse Hospital and Oswego Hospital.
When was this NPI record last updated?
The NPPES record for Shannon Spencer was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Shannon Barbara Spencer, MD · NPI 1700371580
Colon & Rectal Surgery physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since June 25, 2018.
## Identity
- **NPI:** 1700371580 (Entity type: Individual)
- **Enumerated:** June 25, 2018
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **State license:** 01101053A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 11104 PARKVIEW CIRCLE DR STE 320, Fort Wayne, IN 46845-1733
- **Phone:** (260) 266-5300 · **Fax:** (260) 266-5314
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Colon Rectal Associates Of Central New York, LLP (NPI 1730248022, East Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** October 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700371580) · Data from the CMS NPPES public registry.