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NICOLE SHANNON PA-C
NPI 1952090268
Internal Medicine - Cardiovascular Disease in Fredericksburg, VA

Active since May 03, 2023PECOS Enrolled
406 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405(540) 666-6181 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Shannon Pa-c NPPES

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

NICOLE SHANNON PA-C (NPI 1952090268) is an individual cardiovascular disease provider in Fredericksburg, Virginia, licensed in Virginia (0110009187) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952090268
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameNICOLE SHANNONCredential: PA-C
Location Address406 CHATHAM SQUARE OFFICE PARKFredericksburg, VA 22405-2585
Mailing Address406 Chatham Square Office ParkFredericksburg, VA 22405-2585 · (540) 903-4135
Phone(540) 666-6181
Sole ProprietorNo
Enumeration DateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1952090268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in VA · 0110009187
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0110009187 (VA)
406 CHATHAM SQUARE OFFICE PARK, Fredericksburg, VA 22405
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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 (PECOS)

Nicole Shannon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
66 services66 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.
26 services26 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
25 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22405 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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 9

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

KIMBERLY JO ELIAS LPC
Counselor (Professional)
406 CHATHAM SQUARE OFFICE PARK, SUITE 102
FREDERICKSBURG, VA 22405
Stafford County (907) 831-1243
MRS. THERESA ANN WEEDON LCSW
Social Worker (Clinical)
406 CHATHAM SQUARE OFFICE PARK, SUITE 201
FREDERICKSBURG, VA 22405
Stafford County (540) 373-1200
PREMIER CARDIAC AND VASCULAR LLC
Internal Medicine (Cardiovascular Disease)
406 CHATHAM SQUARE OFFICE PARK
FREDERICKSBURG, VA 22405
Stafford County (540) 666-6181
KEYANNAH PATEL
Nurse Practitioner
406 CHATHAM SQUARE OFFICE PARK
FREDERICKSBURG, VA 22405
Stafford County (540) 666-6181
ALLIANCE THERAPY FOR ADULTS LLC
Social Worker (Clinical)
406 CHATHAM SQUARE OFFICE PARK, SUITE 102
FREDERICKSBURG, VA 22405
Stafford County (540) 373-9577
MRS. CYNTHIA MARIE OLSEN FARQUHAR LCSW
Social Worker (Clinical)
406 CHATHAM SQUARE OFFICE PARK, SUITE 201 RIVERSIDE COUNSELING PLLC
FREDERICKSBURG, VA 22405
Stafford County (540) 373-1200
DANETH COLLEY
Nurse Practitioner (Family)
406 CHATHAM SQUARE OFFICE PARK
FREDERICKBURG, VA 22405
Stafford County (540) 666-6181
SYLISA LAMBERT-WOODARD EDD
Social Worker (Clinical)
406 CHATHAM SQUARE OFFICE PARK, SUITE 101
FREDERICKSBURG, VA 22405
Stafford County (540) 373-9577

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 Nicole Shannon's NPI number?

The NPI number for Nicole Shannon is 1952090268. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Nicole Shannon located?

Nicole Shannon practices at 406 Chatham Square Office Park, Fredericksburg, VA 22405. The listed phone number is (540) 666-6181.

What is Nicole Shannon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nicole Shannon enrolled in Medicare?

Yes. Nicole Shannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Shannon was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.