CHELSEA LEE SHANNON MD
NPI 1891437760
Student in an Organized Health Care Education/Training Program in Boston, MA
About Chelsea Lee Shannon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHELSEA LEE SHANNON MD (NPI 1891437760) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in California (A195142) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chelsea Lee Shannon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Chelsea Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lodi, CA 95240
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of San Joaquin
- 195 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.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Chelsea Shannon's NPI number?
The NPI number for Chelsea Shannon is 1891437760. It was assigned to this individual provider in the NPPES registry on April 11, 2022.
Where is Chelsea Shannon located?
Chelsea Shannon practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-7458.
What is Chelsea Shannon's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Chelsea Shannon enrolled in Medicare?
Yes. Chelsea Shannon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Chelsea Shannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chelsea Shannon reassigns Medicare benefits to San Joaquin County Behavioral Health Services (Lodi, CA). The 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 Chelsea Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chelsea Shannon was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Chelsea Lee Shannon, MD · NPI 1891437760
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 11, 2022.
## Identity
- **NPI:** 1891437760 (Entity type: Individual)
- **Enumerated:** April 11, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** A195142 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 FRANCIS ST, Boston, MA 02115-6110
- **Phone:** (617) 732-7458
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** San Joaquin County Behavioral Health Services (NPI 1265647234, Lodi, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2026
- **Other identifiers:** Medicaid A195142 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1891437760) · Data from the CMS NPPES public registry.