SHANNON ANASTASIA PAGE
NPI 1891380069
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is Shannon Page's NPI number?

The NPI number for Shannon Page is 1891380069. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Q: What is Shannon Page's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Page was last updated on March 9, 2021. 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 March 09, 2021PECOS EnrolledAccepts Medicare Assignment

2581 ATLANTIC AVE, BROOKLYN, NY 11207(718) 495-6700 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shannon Anastasia Page NPPES

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

SHANNON ANASTASIA PAGE (NPI 1891380069) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891380069

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHANNON ANASTASIA PAGE

Location Address2581 ATLANTIC AVEBrooklyn, NY 11207-2412

Mailing Address2581 Atlantic AveBrooklyn, NY 11207-2412 · (718) 495-6700

Phone(718) 495-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 9, 2021

NPPES CertifiedMarch 9, 2021

✔ NPI 1891380069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2581 ATLANTIC AVE, Brooklyn, NY 11207

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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 Anastasia Page 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 ID8628540416

PECOS Enrollment IDI20260612000226

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.

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.

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