Individual provider Active NPI

Shannen Elizabeth Box, PA

  • Physician Assistant
  • Fall River, MA
National Provider Identifier
1376179895
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8904 Issued in MA
Practice address
289 Pleasant St Ste 403
Fall River, MA 02721-3005
Phone
(508) 675-5999
Fax
(508) 646-4334
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA8904 MA Primary

Addresses

Primary practice location

289 Pleasant St Ste 403
Fall River, MA 02721-3005

Mailing address

289 Pleasant St Ste 403
Fall River, MA 02721-3005
Phone (508) 675-5999

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
I20221005002499 MA Practitioner - Physician Assistant 6901236769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

277 Pleasant St
Fall River, MA 02721-3005

289 Pleasant St
Fall River, MA 02721-3005

67 Slade'S Ferry Boulevard
Somerset, MA 02726-1220
Phone (508) 676-3292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA8904MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Oct 1, 2022 Accepting new patients
Prima Care, PC CurrentSince Oct 1, 2022 Accepting new patients

Locations

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

289 Pleasant St
Ste 403
Fall River, MA 02721
Phone (508) 674-1500

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

Interoperability endpoints

  • Direct secure messaging: shannen.box@prima.eclinicaldirectplus.com

Organizations & group practices 2

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 2

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1376179895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST STE 403",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-675-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST STE 403",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-675-5999",
            "fax_number": "508-646-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX",
        "first_name": "SHANNEN",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.