MARY M SHANNON CRNP
NPI 1104816073
Nurse Practitioner - Family in Kittanning, PA
NPI Status: Active since October 24, 2005
Contact Information
1 NOLTE DR
KITTANNING, PA
ZIP 16201
Phone: (724) 543-8536
Fax: (724) 543-8743
- Individual
- Female
- Years of Experience 15
- Nurse Practitioner
- Family
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MARY SHANNON
This page provides the complete NPI Profile along with additional information for Mary Shannon, a provider established in Kittanning, Pennsylvania with a medical specialization in Nurse Practitioner, focusing in family and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1104816073 assigned on October 2005. The practitioner's primary taxonomy code is 363LF0000X with license number SP007840 (PA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1104816073
- Provider Name
- MARY M SHANNON CRNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 NOLTE DR KITTANNING, PA 16201
- Location Phone
- (724) 543-8536
- Location Fax
- (724) 543-8743
- Mailing Address
- 3530 PEACH ST SUITE LL1 ERIE, PA 16508
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-24-2005
- Last Update Date
- 07-16-2007
- Code Navigator
A nurse practitioner (NP) like Mary Shannon is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- SP007840
- License State
- PA
Medicare Participation & PECOS Enrollment Status
Mary Shannon is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mary Shannon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 749242246
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20041027001019
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.22 for a new patient copayment and $24.2 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 16201 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mary Shannon is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ACMH HOSPITAL | ONE NOLTE DRIVE KITTANNING, PA 16201 | (724) 543-8500 | Acute Care Hospitals |
Reviews for MARY M SHANNON CRNP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 0 | 4 | 8 | 1 | 6 | 0 | 7 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 0 | 4 | 16 | 1 | 12 | 0 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 0 + 4 + 1 + 6 + 1 + 1 + 2 + 0 + 1 + 4 + 24 = 47 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 47 = 3 | 3 |
The NPI number 1104816073 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1750384970 | HAROLD A ALTMAN MD Individual | Pediatrics | 1 NOLTE DR STE 170 KITTANNING, PA 16201 (724) 548-2283 |
1548263767 | KIRAN BHAT MD Individual | Pediatrics | 1 NOLTE DR STE 170 KITTANNING, PA 16201 (724) 548-2283 |
1164425369 | SUZANNE REITZ MD Individual | Pediatrics | 1 NOLTE DR STE 170 KITTANNING, PA 16201 (724) 548-2283 |
1245233436 | DONALD J VIGLIOTTI MD Individual | Pediatrics | 1 NOLTE DR STE 107 KITTANNING, PA 16201 (724) 548-2283 |
1811971138 | NUTAN S SHAH MD Individual | Anesthesiology | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8500 |
1679547822 | SANDI LEE HELLGREN PA Individual | Physician Assistant | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8500 |
1265472732 | CHARLES A LYNN MD Individual | Radiology (Diagnostic Radiology) | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8405 |
1003827577 | JAMES E CHILDS MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8122 |
1871673020 | JAMIE M RISCH RD, LDN Individual | Dietitian, Registered | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8164 |
1184701211 | JOHN J DINARDO CRNA Individual | Nurse Anesthetist, Certified Registered | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8500 |
1518031004 | LORI C CAMPBELL CRNA Individual | Nurse Anesthetist, Certified Registered | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8124 |
1609942572 | ACMH HOSPITAL Organization | General Acute Care Hospital | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8164 |
1861568776 | ARMSTRONG COUNTY MEMORIAL HOSPITAL Organization | Skilled Nursing Facility | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8164 |
1851467765 | ARMSTRONG COUNTY MEMORIAL HOSPITAL Organization | Psychiatric Unit | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8164 |
1790844199 | EMILY P WARNER CRNA Individual | Nurse Anesthetist, Certified Registered | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8500 |
1811044340 | ARMSTRONG COUNTY MEMORIAL HOSPITAL Organization | Rehabilitation Unit | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8164 |
1164565388 | JEFFREY D LASKO MPT Individual | Physical Therapist | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8880 |
1841333085 | JENNIFER ANN CLAWSON PT CI CERT Individual | Physical Therapist | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8880 |
1336282540 | AMY LYNNE POSTUPACK MPT Individual | Physical Therapist | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8880 |
1922141142 | SARAH JACOBS PT Individual | Physical Therapist | 1 NOLTE DR KITTANNING, PA 16201 (724) 543-8880 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104816073, enumerated in the NPI registry as an "individual" on October 24, 2005
The provider is located at 1 Nolte Dr Kittanning, Pa 16201 and the phone number is (724) 543-8536
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider has more than 15 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.88 with an average copayment of $21.22 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): ACMH HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on October 24, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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