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SHANNON B. BEAUSOLEIL I MD
NPI 1942291653
Pediatrics in West Hartford, CT

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
1216 FARMINGTON AVE STE 202, WEST HARTFORD, CT 06107(860) 236-0331(860) 263-8697 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2021, Oct 9, 2018 (2 updates tracked since 2018).

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

NPI1942291653
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANNON B. BEAUSOLEIL ICredential: MD
Location Address1216 FARMINGTON AVE STE 202West Hartford, CT 06107-2673
Mailing Address1216 Farmington Ave Ste 202West Hartford, CT 06107-2673 · (860) 236-0331 · Fax (860) 263-8697
Phone(860) 236-0331
Fax(860) 263-8697
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1994
Enumeration DateNovember 2, 2005
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1942291653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 043733
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 043733 (CT)
1216 FARMINGTON AVE STE 202, West Hartford, CT 06107
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Other Identifiers 3

Other218498MA · Connecticare
Other3352025MA · Aetna
Medicaid1302469MA

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 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.

PECOS PAC ID2961395660
PECOS Enrollment IDI20060127000149
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients

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.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YANET RAVELO
Pediatrics
1216 FARMINGTON AVE STE 202
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 236-0331

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.

When was this NPI record last updated?

The NPPES record for Shannon Beausoleil was last updated on June 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.