SHANNON B. BEAUSOLEIL I MD
NPI 1942291653
Pediatrics in West Hartford, CT
About Shannon B. Beausoleil I Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON B. BEAUSOLEIL I MD (NPI 1942291653) is an individual pediatrics provider in West Hartford, Connecticut, licensed in Connecticut (043733) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
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
Shannon B. Beausoleil I Md 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 Reassignment
Medicare enrollment records show Shannon Beausoleil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 45 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06107 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Beausoleil's NPI number?
The NPI number for Shannon Beausoleil is 1942291653. It was assigned to this individual provider in the NPPES registry on November 2, 2005.
Where is Shannon Beausoleil located?
Shannon Beausoleil practices at 1216 Farmington Ave Ste 202, West Hartford, CT 06107. The listed phone number is (860) 236-0331.
What is Shannon Beausoleil's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shannon Beausoleil enrolled in Medicare?
Yes. Shannon Beausoleil 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 organization bills Medicare for Shannon Beausoleil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Beausoleil reassigns Medicare benefits to Collins Medical Associates 2 PC (Hartford, CT). 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 Shannon Beausoleil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Beausoleil accept?
Health plans from Anthem Blue Cross and Blue Shield list Shannon Beausoleil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shannon Beausoleil was last updated on June 22, 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.
# Shannon B. Beausoleil I, MD · NPI 1942291653
Pediatrics physician in West Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since November 2, 2005.
## Identity
- **NPI:** 1942291653 (Entity type: Individual)
- **Enumerated:** November 2, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 043733 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 1216 FARMINGTON AVE STE 202, West Hartford, CT 06107-2673
- **Phone:** (860) 236-0331 · **Fax:** (860) 263-8697
## 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:** Collins Medical Associates 2 PC (NPI 1912928169, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** June 22, 2021
- **Other identifiers:** Other 218498 (MA); Other 3352025 (MA); Medicaid 1302469 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1942291653) · Data from the CMS NPPES public registry.