Shannon Bednarz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8647 Issued in GA

Practice address

1370 E Venice Ave Ste 205
Venice, FL 34285-9084

Phone

(941) 488-2020

NPI assigned

Feb 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Sight PLGroup PAC ID 1658340294, 35 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.19 of 100Reported as group

Quality

93.87

Promoting interoperability

100

Improvement activities

40

Cost

66.75

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sbednarz@directaddress.net

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

• Center for Sight, PL

  • Ophthalmology Physician
  • Venice, FL
  • NPI 1386718468
  Medicare reassignment Care Compare group
• Reddy Urgent Care - Royston LLC

  • Urgent Care Clinic/Center
  • Royston, GA
  • NPI 1093847444
  NPD (past)

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1023519246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-480-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE STE 205",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859084",
            "telephone_number": "941-488-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 S McCall Rd",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342234958",
            "country_code": "US",
            "telephone_number": "941-480-2135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDNARZ",
        "first_name": "SHANNON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbednarz@centerforsight.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Center For Sight, PL",
            "address_1": "1370 E Venice Ave Ste 205",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342859084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbednarz@centerforsight.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Center For Sight, PL",
            "address_1": "1370 E Venice Ave Ste 205",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342859084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ryan Beadle, P.A.
• Beaming Mind Psychology LLC
• Mitchel Lee Beasley II, D.O.
• Kathleen J Beazell, DMD
• Gillian Bednar
• Richard James Beebe, M.D.
• Natasha Victoria Begon, ANP
• Gayane Bejanyan
• Stephen Paul Belcher, D.D.S.
• Olga Belder, DO

• Physician Assistant in Venice, FL
• Providers in Venice, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.