Individual provider Active NPI

Shannon Marie Ross, FNP-BC

  • Family Nurse Practitioner
  • Warrenton, VA
National Provider Identifier
1598479263
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186040 Issued in VA
Practice address
493 Blackwell Rd Ste 202
Warrenton, VA 20186-2689
Phone
(540) 347-4400
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112192 WV
Family Nurse Practitioner 363LF0000X 0024186040 VA Primary

Addresses

Primary practice location

493 Blackwell Rd Ste 202
Warrenton, VA 20186-2689

Mailing address

187 Colonial Dr
Charles Town, WV 25414-4498
Phone (703) 389-2231

Other names 1

  • Shannon Marie Milligan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20230505000223 VA Practitioner - Nurse Practitioner 9133584675 Reassigns benefits to 2 organizations
I20240529000554 DC Practitioner - Nurse Practitioner 9133584675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

43130 Amberwood PLZ
Suite 130
Chantilly, VA 20152-4107
Phone (703) 870-3750

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024186040VAMDFamily Nurse Practitioner
112192WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince May 20, 2024 Accepting new patients
Piedmont Family Practice, PLC CurrentSince Feb 24, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince May 20, 2024 Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

9401 Route 29
Ste 302
Fairfax, VA 22031
Phone (703) 870-3750

3903 Fair Ridge Dr
Ste Q
Fairfax, VA 22033
Phone (703) 454-5132

3903 Fair Ridge Dr
Ste 218
Fairfax, VA 22033
Phone (703) 870-3750

8644 Sudley Rd
#220
Manassas, VA 20110

43130 Amberwood Plz
Ste 130
South Riding, VA 20152
Phone (703) 542-7111

1945 Old Gallows Rd
Ste 405
Vienna, VA 22182

493 Blackwell Rd
Ste 202
Warrenton, VA 20186
Phone (540) 341-1734

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shannon.ross.1@8042.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1598479263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 COLONIAL DR",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144498",
            "telephone_number": "703-389-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD STE 202",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862689",
            "telephone_number": "540-347-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "112192",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MILLIGAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.