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SHANNON OLIVIA MYSZKOWSKI PA-C
NPI 1942043534
Physician Assistant - Surgical in Brookline, MA

Active since June 13, 2024PECOS EnrolledAccepts Medicare Assignment
43 SAINT PAUL ST APT 2, BROOKLINE, MA 02446(678) 906-0431 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 12, 2024, Jun 13, 2024 (2 updates tracked since 2024).

About Shannon Olivia Myszkowski Pa-c NPPES

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

SHANNON OLIVIA MYSZKOWSKI PA-C (NPI 1942043534) is an individual surgical provider in Brookline, Massachusetts, licensed in Georgia (12474) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1942043534
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHANNON OLIVIA MYSZKOWSKICredential: PA-C
Location Address43 SAINT PAUL ST APT 2Brookline, MA 02446-6921
Mailing Address43 Saint Paul St Apt 2Brookline, MA 02446-6921
Phone(678) 906-0431
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 13, 2024
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1942043534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 12474
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1221228 (MA)
43 SAINT PAUL ST APT 2, Brookline, MA 02446
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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 Olivia Myszkowski 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 ID9133654965
PECOS Enrollment IDI20241203000943
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.

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 Myszkowski's NPI number?

The NPI number for Shannon Myszkowski is 1942043534. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Shannon Myszkowski located?

Shannon Myszkowski practices at 43 Saint Paul St Apt 2, Brookline, MA 02446. The listed phone number is (678) 906-0431.

What is Shannon Myszkowski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shannon Myszkowski enrolled in Medicare?

Yes. Shannon Myszkowski 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.

When was this NPI record last updated?

The NPPES record for Shannon Myszkowski was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.