Individual provider Active NPI

Shannon Rose McCormick, PA-C

  • Physician Assistant
  • Framingham, MA
National Provider Identifier
1053644658
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3869 Issued in MA
Practice address
115 Lincoln Street
Metrowest Medical Center Emergency Department
Framingham, MA 01702-6358
Phone
(978) 807-2262
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA3869 MA Primary

Addresses

Primary practice location

115 Lincoln Street
Metrowest Medical Center Emergency Department
Framingham, MA 01702-6358

Mailing address

115 Lincoln Street
Metrowest Medical Center Emergency Department
Framingham, MA 01702-6358
Phone (978) 807-2262

Other practice location 1

181 Cambridge St
Burlington, MA 01803-2922
Phone (781) 730-0045

Other names 1

  • Shannon Rose Sweeney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20091217000178 MA Practitioner - Physician Assistant 7719027093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

1285 Belmont St
Suite 1
Brockton, MA 02301-4440
Phone (508) 894-7015

180 Main St
Saugus, MA 01906-4502
Phone (339) 674-0978

181 Cambridge St
Burlington, MA 01803-2922
Phone (781) 730-0045

210 Andover St
Peabody, MA 01960-1647
Phone (978) 488-3234

236 Cochituate Rd
Framingham, MA 01701-4627
Phone (774) 244-3227

245 Hartford Ave
Bellingham, MA 02019-3007
Phone (774) 295-4355

256 Washington St
Unit 2
Hudson, MA 01749-2735
Phone (978) 293-5026

40 Davis Straits
Falmouth, MA 02540-3906
Phone (774) 255-3010

86 Taunton St
Plainville, MA 02762-2131
Phone (508) 928-5211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3869MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Urgent Care Professionals PC CurrentSince Feb 1, 2015 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Feb 1, 2015 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Mar 10, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Mar 10, 2024 Accepting new patients
Metrowest Emergency Physicians Inc Past Accepting new patients
Convenientmd LLC Past Accepting new patients
Metrowest Emergency Physicians Inc Past Accepting new patients
Convenientmd - FFS UC LLC Past Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

181 Cambridge St
Burlington, MA 01803
Phone (781) 730-0045

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1053644658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LINCOLN STREET",
            "address_2": "METROWEST MEDICAL CENTER EMERGENCY DEPARTMENT",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026358",
            "telephone_number": "978-807-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LINCOLN STREET",
            "address_2": "METROWEST MEDICAL CENTER EMERGENCY DEPARTMENT",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026358",
            "telephone_number": "978-807-2262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018032922",
            "country_code": "US",
            "telephone_number": "781-730-0045",
            "fax_number": "781-552-4842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "SHANNON",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA3869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SWEENEY",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.