Individual provider Active NPI

Shannon L Hughes, CRNP

  • Family Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1497870018
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP007267 Issued in PA
Practice address
300 E Plank Rd
Altoona, PA 16602-4154
Phone
(814) 946-3801
NPI assigned
Mar 20, 2007
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP007267 PA Primary

Addresses

Primary practice location

300 E Plank Rd
Altoona, PA 16602-4154

Mailing address

300 E Plank Rd
Altoona, PA 16602-4154
Phone (814) 946-3801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250206003291 TX Practitioner - Nurse Practitioner 4183600497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS PHS IHS Phoenix AreaGroup PAC ID 2668647108, 23 clinicians

Practice addresses (Care Compare)

401 E Picacho Rd
Winterhaven, CA 92283-9605

401 Picacho Rd
Winterhaven, CA 92283-9605
Phone (760) 572-4137

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP007267PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS IHS Phoenix Area CurrentSince Jan 27, 2025 Accepting new patients

Locations

401 Picacho Rd
Winterhaven, CA 92283
Phone (760) 572-4100

4100 W 150th St
Cleveland, OH 44135

Organizations & group practices 1

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 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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1497870018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E PLANK RD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024154",
            "telephone_number": "814-946-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E PLANK RD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024154",
            "telephone_number": "814-946-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "SHANNON",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.