MS. SHANNON R PACKER PA-C
NPI 1861825259
Physician Assistant - Medical in Glastonbury, CT

Q: 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.

Q: What is Shannon Packer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: 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.

Active since August 20, 2013PECOS Enrolled

88.65/100

CMS Quality Rating

305 WESTERN BLVD, GLASTONBURY, CT 06033(860) 522-0604 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 11, 2023, Sep 5, 2019, Jan 31, 2017 (3 updates tracked since 2017).

On this page

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 and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1861825259

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. SHANNON R PACKERCredential: PA-C

Location Address305 WESTERN BLVDGlastonbury, CT 06033-4380

Mailing Address305 Western BlvdGlastonbury, CT 06033-4380 · (860) 522-0604

Phone(860) 522-0604

Sole ProprietorNo

Enumeration DateAugust 20, 2013

Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration

NPPES CertifiedJuly 11, 2023

✔ NPI 1861825259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CT · 23.002946

Also ListedPhysician AssistantTaxonomy 363A00000X · License 2946 (CT)

305 WESTERN BLVD, Glastonbury, CT 06033

Open in Google Maps ↗

Secondary Practice Location 1

Location 180 Seymour StHartford, CT 06102-8000 · Phone (860) 972-4166

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shannon R Packer Pa-c 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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

476 services196 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

43 services40 patients

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.

88.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.01

Promoting Interoperability

Improvement Activities

Cost

82.87

Other Providers at the Same Location NPPES

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

MICHAEL ANDREW FUERY MD

Internal Medicine (Cardiovascular Disease)

305 WESTERN BLVD
GLASTONBURY, CT 06033

Capitol Planning Region (203) 265-9831

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 enrollment system.

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.