MR. ERASTUS SHANNON PMH-NP
NPI 1710695762
Nurse Practitioner - Psychiatric/Mental Health in Albany, NY

Q: What is Erastus Shannon's NPI number?

The NPI number for Erastus Shannon is 1710695762. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Q: What is Erastus Shannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Erastus Shannon was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 08, 2022PECOS Enrolled

418 BROADWAY STE N, ALBANY, NY 12207(516) 200-6865 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Erastus Shannon Pmh-np NPPES

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

MR. ERASTUS SHANNON PMH-NP (NPI 1710695762) is an individual psychiatric/mental health provider in Albany, New York, licensed in New York (404594) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710695762

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. ERASTUS SHANNONCredential: PMH-NP

Location Address418 BROADWAY STE NAlbany, NY 12207-2922

Mailing Address418 Broadway Ste NAlbany, NY 12207-2922 · (516) 200-6865

Phone(516) 200-6865

Sole ProprietorYes

Enumeration DateNovember 8, 2022

NPPES CertifiedNovember 8, 2022

✔ NPI 1710695762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 404594

418 BROADWAY STE N, Albany, NY 12207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Erastus Shannon Pmh-np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12207 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.

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.

CHRISTINA ERCOLE NP IN PSYCHIATRY, PLLC

Nurse Practitioner (Psychiatric/Mental Health)