SHANNON MARIE CONVERY PA-C
NPI 1871803676
Physician Assistant - Medical in Lorain, OH

Q: What is Shannon Convery's NPI number?

The NPI number for Shannon Convery is 1871803676. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Q: What is Shannon Convery'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 Convery was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 14, 2010PECOS EnrolledAccepts Medicare Assignment

5172 LEAVITT RD, LORAIN, OH 44053(440) 282-3385 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shannon Marie Convery Pa-c NPPES

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

SHANNON MARIE CONVERY PA-C (NPI 1871803676) is an individual medical provider in Lorain, Ohio, licensed in Ohio (50.002241) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with University Hospitals - Elyria Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1871803676

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSHANNON MARIE CONVERYCredential: PA-C

Location Address5172 LEAVITT RDLorain, OH 44053-2384

Mailing Address4211 Wooster RdFairview Park, OH 44126-3417 · (440) 289-7243

Phone(440) 282-3385

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateOctober 14, 2010

Last NPPES UpdateNovember 18, 2020

NPPES CertifiedNovember 18, 2020

✔ NPI 1871803676 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

Licenses✔ Licensed in OH · 50.002241✔ Licensed in TX · PA03157

Also ListedPhysician AssistantTaxonomy 363A00000X · License 1052607 NCCPA NUMBER (TX)

5172 LEAVITT RD, Lorain, OH 44053

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Marie Convery 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 ID4385865880

PECOS Enrollment IDI20141027001815

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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

69 services48 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

56 services34 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

24 services24 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360145

Location630 East River StreetElyria, OH 44035 · Lorain County

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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.

JASON B FRAZIER DO

Internal Medicine