Individual provider Active NPI

Shannon M Vinson, PA-C

  • Physician Assistant
  • Franklin, PA
National Provider Identifier
1215198148
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA002890L Issued in PA
Practice address
110 N 13TH St
Franklin, PA 16323-2312
Phone
(814) 437-1541
Fax
(814) 432-2439
NPI assigned
Jun 23, 2008
Last updated
Jun 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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 MA002890L PA Primary
Medical Physician Assistant 363AM0700X MA002890L PA

Addresses

Primary practice location

110 N 13TH St
Franklin, PA 16323-2312

Mailing address

110 N 13TH St
Franklin, PA 16323-2312
Phone (814) 437-1541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20141208001320 PA Practitioner - Physician Assistant 8527380286 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titusville Area HospitalGroup PAC ID 8022907575, shared by 16 NPIs, 77 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

116 Central Ave
Oil City, PA 16301-2736
Phone (814) 676-0431

316 Allegheny Blvd
Suite B
Franklin, PA 16323-6208
Phone (814) 432-7200

339 W Spring St
Titusville, PA 16354-1655
Phone (814) 827-9675

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA002890LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Health Services, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Titusville Area Hospital CurrentSince Oct 8, 2019 Accepting new patients
Titusville Area Hospital CurrentSince Jun 1, 2022 Accepting new patients
Titusville Area Hospital CurrentSince Oct 8, 2019 Accepting new patients
Titusville Area Hospital CurrentSince Jun 1, 2022 Accepting new patients
Franklin Pediatric Associates, P.C. Past Accepting new patients

Locations

704 N Main St
Meadville, PA 16335
Phone (814) 373-2923

116 Central Ave
Oil City, PA 16301
Phone (814) 676-0431

115 Main St
Tidioute, PA 16351
Phone (814) 484-3096

335 W Oak St
Titusville, PA 16354
Phone (814) 827-1852

335 W Oak St
#D
Titusville, PA 16354
Phone (814) 827-8962

339 W Spring St
Titusville, PA 16354
Phone (814) 827-9675

339 W Spring St
Ste 102
Titusville, PA 16354
Phone (814) 824-9675

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Interoperability endpoints

  • Direct secure messaging: shannon.vinson@directaddress.net

Organizations & group practices 7

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 1

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1215198148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 13TH ST",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163232312",
            "telephone_number": "814-437-1541",
            "fax_number": "814-432-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 13TH ST",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163232312",
            "telephone_number": "814-437-1541",
            "fax_number": "814-432-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002890L",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002890L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, PA

Sources for this page

Verify at the official NPI Registry.