NPIMap

Individual provider Active NPI

Shannon L Oddi, PA-C

  • Physician Assistant
  • McMurray, PA
National Provider Identifier
1417004342
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003103L Issued in PA
Practice address
1900 Waterdam Plaza Dr Ste 2
MC Murray, PA 15317-5442
Phone
(724) 260-7531
Fax
(724) 260-7532
NPI assigned
Jan 4, 2007
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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 MA003103L PA Primary

Addresses

Primary practice location

1900 Waterdam Plaza Dr Ste 2
MC Murray, PA 15317-5442

Mailing address

1900 Waterdam Plaza Dr Ste 2
MC Murray, PA 15317-5442
Phone (724) 260-7531

Other practice location 1

292 Saint Charles Way
York, PA 17402-4648
Phone (717) 356-4250

Other names 1

  • Shannon L Brandfass Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909000859 PA Practitioner - Physician Assistant 8628136769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1900 Waterdam Plaza Dr
FL 2
Canonsburg, PA 15317-5442
Phone (724) 941-7490

25 Monument Rd
York, PA 17403-5073

292 Saint Charles Way
York, PA 17402-4648
Phone (717) 851-6040

296 St Charles Way
York, PA 17402-4648

500 Blazier Dr
Wexford, PA 15090-9508

575 Coal Valley Rd
Clairton, PA 15025-3729

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA003103LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 7, 2014 Accepting new patients
Wellspan Medical Group CurrentSince Aug 24, 2025 Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 7, 2014 Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Aug 24, 2025 Accepting new patients
Cookeville Center for Pain Management PC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

575 Coal Valley Rd
Ste 573
Jefferson Hills, PA 15025
Phone (412) 469-3300

1900 Waterdam Plaza Dr
Ste 2
McMurray, PA 15317
Phone (724) 260-7531

1900 Waterdam Plaza Dr
Ste 3
McMurray, PA 15317
Phone (412) 559-8003

3471 5th Ave
Ste 900
Pittsburgh, PA 15213
Phone (412) 647-1170

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

292 Saint Charles Way
York, PA 17402
Phone (717) 851-6231

Interoperability endpoints

  • Direct secure messaging: soddi495266@wellspan.direct-ci.com

Organizations & group practices 12

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 12

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1417004342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WATERDAM PLAZA DR STE 2",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153175442",
            "telephone_number": "724-260-7531",
            "fax_number": "724-260-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WATERDAM PLAZA DR STE 2",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153175442",
            "telephone_number": "724-260-7531",
            "fax_number": "724-260-7532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Saint Charles Way",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024648",
            "country_code": "US",
            "telephone_number": "717-356-4250",
            "fax_number": "717-812-6024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODDI",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003103L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "BRANDFASS",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McMurray, PA

Sources for this page

Verify at the official NPI Registry.