Shannon M Mooney, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

013006-1 Issued in NY

Practice address

13 Loder St
Wellsville, NY 14895

Phone

(585) 596-4088

NPI assigned

Nov 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon M Wesche Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Memorial Hospital of William F and Gertrude F Jones IncGroup PAC ID 7012828486, 130 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
• Willcare Chha (Buffalo) Home health agency, Buffalo, NY, CCN 337268
• Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096
• St James Hospital Hospital, Hornell, NY, CCN 330151

Merit-based Incentive Payment System (MIPS)

Final score

87.99 of 100Reported as group

Quality

77.37

Promoting interoperability

99

Improvement activities

40

Cost

71.18

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smooney83705@direct.urmc.rochester.edu

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.

• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  • General Acute Care Hospital
  • Wellsville, NY
  • NPI 1720030703
  Medicare reassignment Care Compare group NPD
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  • Rural Health Clinic/Center
  • Hornell, NY
  • NPI 1457974644
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Care Compare affiliation
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  • General Acute Care Hospital
  • Wellsville, NY
  • NPI 1720030703
  Care Compare affiliation
• Visiting Nursing Association of Western New York, Inc.

  • Home Health Agency
  • Cheektowaga, NY
  • NPI 1730268384
  Care Compare affiliation
• Western Region Health Corporation

  • Home Health Agency
  • Amherst, NY
  • NPI 1710036298
  Care Compare affiliation

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1487809083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LODER ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951112",
            "telephone_number": "585-596-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 LODER ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "14895",
            "telephone_number": "585-596-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "13006",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013006-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smooney83705@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smooney83705@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WESCHE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessa Susan Miller, PT
• Becki J Mills, LPN
• Jason Matthew Monahan, PMHNP
• Michelle Monahan
• Brenda Marie Mong-Szabo, DPT
• Kathleen A Morehouse
• Taylor Anne Morrison, M.S., CCC-SLP
• Justin Moyer, PT, DPT
• Ismat Mrad, MD
• Tammy Munro, PT

• Physician Assistant in Wellsville, NY
• Providers in Wellsville, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.