Shannon Lee Myers, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F11170214 Issued in PA

Practice address

724 Pershing St
Ellwood City, PA 16117-1474

Phone

(724) 752-0081

NPI assigned

Dec 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heritage Valley Multispecialty Group IncGroup PAC ID 0042105678, 229 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Heritage Valley Multispecialty Group, Inc.

  • Internal Medicine Physician
  • Beaver, PA
  • NPI 1528015401
  Medicare reassignment Care Compare group NPD
• Heritage Valley Multispecialty Group, Inc.

  • Family Medicine Physician
  • Aliquippa, PA
  • NPI 1518435981
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512172800000",
    "number": "1487169249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 PERSHING ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171474",
            "telephone_number": "724-752-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 PERSHING ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171474",
            "telephone_number": "724-752-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2017-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "F11170214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric John Molyneaux, PHARMD
• Richard Wayne Mondak, MPAS PA-C
• Lenal Antoinette Morello, LISW-S
• Roni Morrow, COTA/L, CLT
• Kathleen Brooks Mulhollen, MS, CCC-SLP
• Anastasia Marie Neil, DO
• Katarina Marie Nikolic
• Jodi Nocera
• James Howard Oberfeitinger, DMD
• Rebecca Lynn Oneil, PBT / ASCP

• Family Nurse Practitioner in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.