Individual provider Active NPI

Shannon Riley Mulroony, PA-C

  • Physician Assistant
  • Hopewell Junction, NY
National Provider Identifier
1013867639
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
45 Foster Rd
Hopewell Junction, NY 12533-6123
Phone
(845) 226-4590
NPI assigned
Feb 2, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

45 Foster Rd
Hopewell Junction, NY 12533-6123

Mailing address

243 North Rd Ste 304
Poughkeepsie, NY 12601-1173
Phone (845) 226-4590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260610002662 NY Practitioner - Physician Assistant 9436621430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Pittsburgh School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dutchess Family Health NP PLLCGroup PAC ID 2264887017, 3 clinicians

Practice addresses (Care Compare)

822 Route 82
Suite 320
Hopewell JCT, NY 12533-7374
Phone (845) 520-9904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dutchess Family Health NP PLLC CurrentSince May 3, 2026 Accepting new patients
Community Orthopedic Associates PastSince May 3, 2026 Accepting new patients

Locations

822 Main St
Ste 320
Hopewell Junction, NY 12533
Phone (845) 223-1082

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHIAED/Endpoint/CHIAED

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1013867639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD STE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011173",
            "telephone_number": "845-226-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOSTER RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336123",
            "telephone_number": "845-226-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULROONY",
        "first_name": "SHANNON",
        "middle_name": "RILEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

Verify at the official NPI Registry.