Active NPI
Elissa Marie Shannon
- Certified Registered Nurse Anesthetist
- East Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN549918
- Practice address
- 206 E Brown St
East Stroudsburg, PA 18301-3006 - Phone
- (570) 421-4000
- Fax
- (570) 476-3710
- NPI assigned
- Nov 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN549918 | PA | Primary |
Addresses
Primary practice location
206 E Brown St
East Stroudsburg, PA 18301-3006
Mailing address
68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone (516) 945-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (610) 954-5810
1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2000
1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (866) 785-8537
250 S 21St St
Easton, PA 18042-3851
Phone (610) 250-4000
3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (267) 985-1000
744 W Lancaster Ave
Wayne, PA 19082-2523
Phone (610) 645-2000
801 Ostrum St
Bethlehem, PA 18015-1065
Phone (610) 954-5810
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN549918 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| Associates in Anesthesia, Inc. | Current | Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| Anesthesia Specialists of Bethlehem, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| Anesthesia Specialists of Warren, LLC | Current | Accepting new patients | |
| Associates in Anesthesia | Past | Accepting new patients |
Locations
185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611
279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201
1 W Broad St
Ste 506
Bethlehem, PA 18018
Phone 6109545810 ext. 3
1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147
30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1851349302
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wynnewood, PA
- NPI 1053366062
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1942281191
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Anesthesiology Physician
- Phillipsburg, NJ
- NPI 1104354422
-
- Hematology & Oncology Physician
- Phillipsburg, NJ
- NPI 1467725184
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Interventional Pain Medicine Physician
- Quakertown, PA
- NPI 1316127376
-
- Ophthalmology Physician
- Phillipsburg, NJ
- NPI 1568347201
-
- Neurology Physician
- Phillipsburg, NJ
- NPI 1841563574
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
- General Acute Care Hospital
- Quakertown, PA
- NPI 1669405072
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
-
- General Acute Care Hospital
- Easton, PA
- NPI 1073047981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1164799714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 S SERVICE RD",
"address_2": "SUITE 350",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472354",
"telephone_number": "516-945-3000",
"fax_number": "516-945-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E BROWN ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-421-4000",
"fax_number": "570-476-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "ELISSA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN549918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.