MRS. SHANNON BARTLETT NP
NPI 1861154825
Nurse Practitioner - Adult Health in Brockport, NY

Active since October 07, 2021PECOS EnrolledAccepts Medicare Assignment
300 WEST AVE, BROCKPORT, NY 14420(585) 637-3905 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2021, Oct 7, 2021 (2 updates tracked since 2021).

About Mrs. Shannon Bartlett Np NPPES

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

MRS. SHANNON BARTLETT NP (NPI 1861154825) is an individual adult health provider in Brockport, New York, licensed in New York (310447) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861154825
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SHANNON BARTLETTCredential: NP
Location Address300 WEST AVEBrockport, NY 14420-1118
Mailing Address300 West AveBrockport, NY 14420-1118 · (585) 637-3905
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 7, 2021
Last NPPES UpdateDecember 7, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
NPI 1861154825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 310447
300 WEST AVE, Brockport, NY 14420

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

Mrs. Shannon Bartlett Np 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 ID7416342944
PECOS Enrollment IDI20220321001541
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.

Hospital Affiliations CMS Care Compare 2

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

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14420 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.

Dental Hygienist
300 WEST AVE
BROCKPORT, NY 14420
Family Medicine
300 WEST AVE
BROCKPORT, NY 14420
Dentist
300 WEST AVE
BROCKPORT, NY 14420
Nurse Practitioner (Family)
300 WEST AVE
BROCKPORT, NY 14420
Technician/Technologist (Optician)
300 WEST AVE
BROCKPORT, NY 14420
Dentist (General Practice)
300 WEST AVE
BROCKPORT, NY 14420
Dental Assistant
300 WEST AVE
BROCKPORT, NY 14420
Dentist
300 WEST AVE
BROCKPORT, NY 14420

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 Bartlett's NPI number?

The NPI number for Shannon Bartlett is 1861154825. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Shannon Bartlett located?

Shannon Bartlett practices at 300 West Ave, Brockport, NY 14420. The listed phone number is (585) 637-3905.

What is Shannon Bartlett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shannon Bartlett enrolled in Medicare?

Yes. Shannon Bartlett 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 Bartlett affiliated with any hospitals?

According to CMS data, Shannon Bartlett is affiliated with United Memorial Medical Center and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Bartlett was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.