NPIMap

Individual provider Active NPI

Shannon E Neurohr, PA-C

  • Medical Physician Assistant
  • Grove City, PA
National Provider Identifier
1023246899
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053880 Issued in PA
Practice address
647 N Broad Street Ext
Suite 107
Grove City, PA 16127-4604
Phone
(724) 458-8460
Fax
(724) 458-0137
NPI assigned
Jun 30, 2009
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA053880 PA Primary

Addresses

Primary practice location

647 N Broad Street Ext
Suite 107
Grove City, PA 16127-4604

Mailing address

4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5227

Other names 1

  • Miss Shannon E Bonanno Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sneuroher65242@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000528 PA Practitioner - Physician Assistant 5294877213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1307 Federal St
Suite B300
Pittsburgh, PA 15212-4775
Phone (412) 359-3751

647 N Broad St Ext
Grove City, PA 16127-4604

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA053880PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 14, 2015 Accepting new patients
Allegheny Clinic CurrentSince Jul 14, 2015 Accepting new patients

Locations

647 N Broad Street Ext
Ste 107
Grove City, PA 16127
Phone (724) 458-8460

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

1307 Federal St
Ste B300
Pittsburgh, PA 15212
Phone (412) 359-3751

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1023246899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 7",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 N BROAD STREET EXT",
            "address_2": "SUITE 107",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274604",
            "telephone_number": "724-458-8460",
            "fax_number": "724-458-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUROHR",
        "first_name": "SHANNON",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sneuroher65242@direct.ahn.org",
            "affiliation": "N",
            "address_1": "647 N Broad Street Ext",
            "address_2": "Suite 107",
            "city": "Grove City",
            "state": "PA",
            "country_code": "US",
            "postal_code": "161274604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "BONANNO",
            "middle_name": "E",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grove City, PA

Sources for this page

Verify at the official NPI Registry.