Individual provider Active NPI

Shannon M Newton, PA-C

  • Medical Physician Assistant
  • Randallstown, MD
National Provider Identifier
1295134187
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA064232 Issued in PA
Practice address
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone
(410) 521-2200
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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 MA064232 PA Primary

Addresses

Primary practice location

5401 Old Court Rd
Randallstown, MD 21133-5103

Mailing address

621 Shropshire Dr
West Chester, PA 19382-2231

Other names 1

  • Shannon Keohane Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230505002345 PA Practitioner - Physician Assistant 6608198643 Reassigns benefits to 4 organizations
I20250811003757 DE Practitioner - Physician Assistant 6608198643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christine Meyer MD LLCGroup PAC ID 8325004492, 31 clinicians

Practice addresses (Care Compare)

750 W Lincoln Hwy
Exton, PA 19341-2547
Phone (610) 363-0100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA064232PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA PC CurrentSince Jan 31, 2023 Accepting new patients
Christine Meyer MD LLC CurrentSince Mar 15, 2026 Accepting new patients
American Current Care P.a. CurrentSince Jan 31, 2023 Accepting new patients
Tower Health Medical Group Past Accepting new patients

Locations

14809 W 95th St
Lenexa, KS 66215
Phone (913) 894-6664

6401 E Front St
Kansas City, MO 64120
Phone (816) 241-0603

83 Progress Pkwy
Maryland Hts, MO 63043
Phone (314) 434-8174

750 W Lincoln Hwy
Exton, PA 19341
Phone (610) 363-0100

676 W Lincoln Hwy
Exton, PA 19341
Phone (610) 363-0100

2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755

15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 8

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.

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": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1295134187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SHROPSHIRE DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193822231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335103",
            "telephone_number": "410-521-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "KEOHANE",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.