MR. GRANT SHANNON N.P.
NPI 1881139863
Nurse Practitioner - Adult Health in Plattsburgh, NY
About Mr. Grant Shannon N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GRANT SHANNON N.P. (NPI 1881139863) is an individual adult health provider in Plattsburgh, New York, licensed in New York (F308051-1) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Grant Shannon N.p. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Grant Shannon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plattsburgh, NY 12901
- Reassigned Medicare billing, New York enrollment
- 675 clinicians in this Medicare group
Elizabethtown, NY 12932
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1487923637 (New York)
- 219 clinicians in this Medicare group
Malone, NY 12953
- Reassigned Medicare billing, New York enrollment
- 326 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Champlain Valley Physicians Hospital Medical Ctr
Acute Care Hospitals · Plattsburgh, NYElizabethtown Community Hospital
Critical Access Hospitals · Elizabethtown, NYThe University Of Vermont Health Network-Alice Hy
Critical Access Hospitals · Malone, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PLATTSBURGH, NY 12901
PLATTSBURGH, NY 12901
PLATTSBURGH, NY 12901
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 Grant Shannon's NPI number?
The NPI number for Grant Shannon is 1881139863. It was assigned to this individual provider in the NPPES registry on December 29, 2016. The provider is also known as Mr. Patrick Grant Shannon.
Where is Grant Shannon located?
Grant Shannon practices at 206 Cornelia St Suite 105, Plattsburgh, NY 12901. The listed phone number is (518) 561-5516.
What is Grant Shannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Grant Shannon enrolled in Medicare?
Yes. Grant Shannon 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.
Which organizations bill Medicare for Grant Shannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grant Shannon reassigns Medicare benefits to 3 organizations: Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY), Elizabethtown Community Hospital (Elizabethtown, NY) and Alice Hyde Medical Center (Malone, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grant Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Grant Shannon affiliated with any hospitals?
According to CMS data, Grant Shannon is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Elizabethtown Community Hospital and The University Of Vermont Health Network-Alice Hy.
When was this NPI record last updated?
The NPPES record for Grant Shannon was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mr. Grant Shannon, N.P. · NPI 1881139863
Adult Health physician in Plattsburgh, New York. Individual provider, active in the CMS NPPES registry since December 29, 2016.
## Identity
- **NPI:** 1881139863 (Entity type: Individual)
- **Enumerated:** December 29, 2016
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F308051-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 206 CORNELIA ST, SUITE 105, Plattsburgh, NY 12901-2878
- **Phone:** (518) 561-5516
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Champlain Valley Physicians Hospital Medical Center (NPI 1033270699, Plattsburgh, NY); Elizabethtown Community Hospital (NPI 1053656744, Elizabethtown, NY); Alice Hyde Medical Center (NPI 1114954682, Malone, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 11, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1881139863) · Data from the CMS NPPES public registry.