MS. SHANNON R PACKER PA-C
NPI 1861825259
Physician Assistant - Medical in Glastonbury, CT
About Ms. Shannon R Packer Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHANNON R PACKER PA-C (NPI 1861825259) is an individual medical provider in Glastonbury, Connecticut, licensed in Connecticut (23.002946) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Ms. Shannon R Packer 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.
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.
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.
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 Packer's NPI number?
The NPI number for Shannon Packer is 1861825259. It was assigned to this individual provider in the NPPES registry on August 20, 2013.
Where is Shannon Packer located?
Shannon Packer practices at 305 Western Blvd, Glastonbury, CT 06033. The listed phone number is (860) 522-0604.
What is Shannon Packer's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Shannon Packer enrolled in Medicare?
Yes. Shannon Packer 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.
When was this NPI record last updated?
The NPPES record for Shannon Packer was last updated on July 11, 2023. 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.
# Ms. Shannon R Packer, PA-C · NPI 1861825259
Medical physician in Glastonbury, Connecticut. Individual provider, active in the CMS NPPES registry since August 20, 2013.
## Identity
- **NPI:** 1861825259 (Entity type: Individual)
- **Enumerated:** August 20, 2013
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 23.002946 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 305 WESTERN BLVD, Glastonbury, CT 06033-4380
- **Phone:** (860) 522-0604
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1861825259) · Data from the CMS NPPES public registry.