Individual provider Active NPI

Shannon Newton, FNP-C

  • Family Nurse Practitioner
  • King George, VA
National Provider Identifier
1508586280
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184703 Issued in VA
Practice address
15521 Real Estate Ave Ste 206
King George, VA 22485-5328
Phone
(540) 289-2273
Fax
(888) 801-8599
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 0024184703 VA Primary

Addresses

Primary practice location

15521 Real Estate Ave Ste 206
King George, VA 22485-5328

Mailing address

15521 Real Estate Ave Ste 206
King George, VA 22485-5328
Phone (540) 289-2273

Other identifiers 1

IdentifierTypeStateIssuer
0024184703OtherVALICENSED NURSE PRACTITIONER

Other names 1

  • Shannon Boysworth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20241014002685 DC Practitioner - Nurse Practitioner 9638601891 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024184703VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xcel Urgent Care LLC CurrentSince Aug 1, 2024 Accepting new patients
Xcel Primary Care PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

3517 S Jefferson St
Falls Church, VA 22041
Phone (703) 254-9158

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.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1508586280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15521 REAL ESTATE AVE STE 206",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855328",
            "telephone_number": "540-289-2273",
            "fax_number": "888-801-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15521 REAL ESTATE AVE STE 206",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855328",
            "telephone_number": "540-289-2273",
            "fax_number": "888-801-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "SHANNON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED NURSE PRACTITIONER",
            "identifier": "0024184703",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "BOYSWORTH",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in King George, VA

Sources for this page

Verify at the official NPI Registry.