DR. TRACY E SHANNON PSYD
NPI 1972839660
Psychologist - Rehabilitation in Columbus, OH

Q: What is Tracy Shannon's NPI number?

The NPI number for Tracy Shannon is 1972839660. It was assigned to this individual provider in the NPPES registry on October 30, 2009.

Q: What is Tracy Shannon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Shannon was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since October 30, 2009PECOS EnrolledAccepts Medicare Assignment

95.31/100

CMS Quality Rating

480 MEDICAL CENTER DR, COLUMBUS, OH 43210(614) 293-3830(614) 293-4870 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Apr 8, 2025 (2 updates tracked since 2025).

On this page

About Dr. Tracy E Shannon Psyd NPPES

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

DR. TRACY E SHANNON PSYD (NPI 1972839660) is an individual rehabilitation provider in Columbus, Ohio, licensed in Ohio (P.7251) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1972839660

Entity TypeIndividualFemale

Primary Taxonomy103TR0400X

Provider Legal NameDR. TRACY E SHANNONCredential: PSYD

Location Address480 MEDICAL CENTER DRColumbus, OH 43210-1229

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3830 · Fax (614) 293-4870

Phone(614) 293-3830

Fax(614) 293-4870

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 30, 2009

Last NPPES UpdateApril 21, 20262 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1972839660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers

Taxonomy Code103TR0400X

License✔ Licensed in OH · P.7251

Definition

A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.

480 MEDICAL CENTER DR, Columbus, OH 43210

Open in Google Maps ↗

Secondary Practice Location 1

Location 1543 Taylor Ave Ste 3002Columbus, OH 43203-1278 · Phone (614) 688-6400 · Fax (614) 688-6541

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Tracy E Shannon Psyd 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 ID2860715885

PECOS Enrollment IDI20150312001759

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 6

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.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

136 services16 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

42 services16 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

20 services19 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

18 services17 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

16 services16 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.58

Promoting Interoperability

100

Improvement Activities

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.

OSU PHYSICAL MEDICINE AND REHABILITATION, LLC

Physical Medicine & Rehabilitation

480 MEDICAL CENTER DR, 1018 DODD HALL
COLUMBUS, OH 43210

Franklin County (614) 293-4734

DR. KATLIN ROSE SCHULTZ PSYD

Psychologist (Rehabilitation)