SHANNON GRACE TISSON PA-C
NPI 1831557875
Physician Assistant in Colorado Springs, CO

Active since February 05, 2016PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
2222 N NEVADA AVE STE 4007, COLORADO SPRINGS, CO 80907(719) 776-8500 Get Directions Write a Review

NPPES record last updated: December 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2023, Oct 30, 2019, May 17, 2018 and 1 more (4 updates tracked since 2016).

About Shannon Grace Tisson Pa-c NPPES

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

SHANNON GRACE TISSON PA-C (NPI 1831557875) is an individual physician assistant in Colorado Springs, Colorado, licensed in Colorado (5770) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831557875
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON GRACE TISSONCredential: PA-C
Location Address2222 N NEVADA AVE STE 4007Colorado Springs, CO 80907
Mailing Address300 Community DrManhasset, NY 11030-3876 · (516) 562-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 5, 2016
Last NPPES UpdateDecember 17, 20234 updates tracked since enumeration
NPPES CertifiedDecember 17, 2023
NPI 1831557875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CO · 5770 Licensed in TN · 3496
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 23019471 (NY)
2222 N NEVADA AVE STE 4007, Colorado Springs, CO 80907

Other Names 1

Former Name (1)Shannon Lavelle

Secondary Practice Locations 2

Location 11211 Medical Center DrNashville, TN 37232 · Phone (615) 322-5000
Location 2100 Port Washington BlvdRoslyn, NY 11576-1347 · Phone (516) 562-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Grace Tisson Pa-c 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 ID3971881194
PECOS Enrollment IDI20161024000192
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.

Areas of Expertise CMS Part B claims 2

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.

External shock to heart to regulate heart beat 92960
This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.
44 services44 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
39 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80907 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Interventional Cardiology)
2222 N NEVADA AVE STE 4007
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Family)
2222 N NEVADA AVE STE 4007
COLORADO SPRINGS, CO 80907
Internal Medicine (Interventional Cardiology)
2222 N NEVADA AVE STE 4007
COLORADO SPRINGS, CO 80907
Internal Medicine (Clinical Cardiac Electrophysiology)
2222 N NEVADA AVE STE 4007
COLORADO SPRINGS, CO 80907
Internal Medicine (Cardiovascular Disease)
2222 N NEVADA AVE STE 4007
COLORADO SPRINGS, CO 80907
Neurological Surgery
2222 N NEVADA AVE STE 4007
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Acute Care)
2222 N NEVADA AVE STE 4007
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Adult Health)
2222 N NEVADA AVE STE 4007
COLORADO SPRINGS, CO 80907

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 Tisson's NPI number?

The NPI number for Shannon Tisson is 1831557875. It was assigned to this individual provider in the NPPES registry on February 5, 2016. The provider is also known as Shannon Lavelle.

Where is Shannon Tisson located?

Shannon Tisson practices at 2222 N Nevada Ave Ste 4007, Colorado Springs, CO 80907. The listed phone number is (719) 776-8500.

What is Shannon Tisson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Tisson enrolled in Medicare?

Yes. Shannon Tisson 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.

Is Shannon Tisson affiliated with any hospitals?

According to CMS data, Shannon Tisson is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Tisson was last updated on December 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.