Individual provider Active NPI

Shannon L. Zinn, FNP

  • Family Nurse Practitioner
  • Fulton, NY
National Provider Identifier
1578729448
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335575 Issued in NY
Practice address
510 S 4TH St Ste 140
Fulton, NY 13069-2952
Phone
(315) 349-5873
Fax
(315) 349-5921
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 335575 NY Primary

Addresses

Primary practice location

510 S 4TH St Ste 140
Fulton, NY 13069-2952

Mailing address

346 Grand Ave
Johnson City, NY 13790-2580
Phone (607) 771-2220

Other practice location 1

33 Mitchell Ave
Suite G50
Binghamton, NY 13903-1642
Phone (607) 771-2220

Other identifiers 1

IdentifierTypeStateIssuer
03035114MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081107000008 NY Practitioner - Nurse Practitioner 1355400268 Reassigns benefits to 8 organizations
I20250512001223 NH Practitioner - Nurse Practitioner 1355400268

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 N Chelan Ave
Wenatchee, WA 98801-2028

Hospital & facility affiliations

  • Confluence Health Hospital Hospital, Wenatchee, WA, CCN 500016
  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates, P.C. CurrentSince Feb 19, 2026 Accepting new patients
Medical Director Services PC CurrentSince Jul 1, 2024 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Mar 13, 2023 Accepting new patients
Speare Memorial Hospital CurrentSince Mar 1, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Oct 1, 2025 Accepting new patients
Suny Health Science Center at Syracuse Family CurrentSince Aug 20, 2018 Accepting new patients
Suny Health Science Center at Syracuse CurrentSince Aug 20, 2018 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
North Medical PC Current Accepting new patients
Carthage Area Hospital Inc CurrentSince Mar 13, 2023 Accepting new patients
United Medical Associates PC CurrentSince Feb 19, 2026 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Aug 1, 2024 Accepting new patients
Speare Memorial Hospital CurrentSince Mar 1, 2025 Accepting new patients
Atlantic Physician Services of Maryland, PC Past Accepting new patients
Atlantic Physician Services of Maryland, P.C. Past Accepting new patients
Tier Orthopedic Associates, P.C. Past Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients
Greece Dermatological Associates, PC PastSince Dec 6, 2020 Accepting new patients
Speare Memorial Hospital Past Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients

Locations

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

33 Mitchell Ave
Binghamton, NY 13903
Phone (607) 762-2340

33 Mitchell Ave
Ste G50
Binghamton, NY 13903
Phone (607) 771-2220

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

3 Bridge St
Ste 4
Carthage, NY 13619
Phone (315) 493-0100

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

346 Grand Ave
Johnson City, NY 13790
Phone (607) 729-8156

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

515 Main St
Olean, NY 14760
Phone (716) 373-2600

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

803 N Emerson Ave
Wenatchee, WA 98801
Phone (509) 664-4868

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

520 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 662-2211

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

Interoperability endpoints

  • Direct secure messaging: szinn101229@edirect.chehr.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 2

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1578729448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902580",
            "telephone_number": "607-771-2220",
            "fax_number": "607-771-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S 4TH ST STE 140",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692952",
            "telephone_number": "315-349-5873",
            "fax_number": "315-349-5921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Mitchell Ave",
            "address_2": "Suite G50",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139031642",
            "country_code": "US",
            "telephone_number": "607-771-2220",
            "fax_number": "607-771-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZINN",
        "first_name": "SHANNON",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03035114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

Verify at the official NPI Registry.