Individual provider Active NPI

Shannon Leigh Strong, FNP

  • Nurse Practitioner
  • Oswego, NY
National Provider Identifier
1669049599
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
347997 Issued in NY
Practice address
8 Stanley Ave
Oswego, NY 13126-6506
Phone
(315) 402-3681
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 575704 NY
Nurse Practitioner 363L00000X 347997 NY Primary

Addresses

Primary practice location

8 Stanley Ave
Oswego, NY 13126-6506

Mailing address

8 Stanley Ave
Oswego, NY 13126-6506
Phone (315) 402-3681

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210903002386 NY Practitioner - Nurse Practitioner 7113323833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulaski Medical Urgent Care PCGroup PAC ID 1951608579, 5 clinicians

Practice addresses (Care Compare)

3858 State Route 13
Pulaski, NY 13142-2400
Phone (315) 298-2273

510 S 4TH St
Suite 2
Fulton, NY 13069-2952
Phone (315) 592-3510

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
575704NYMDRegistered Nurse
347997NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Port City Emergency Physicians LLP Nurse Practitioner Current Accepting new patients
Pulaski Medical Urgent Care, P.C CurrentSince Aug 21, 2023 Accepting new patients
Port City Emergency Physicians LLP Nurse Practitioner CurrentSince Jul 29, 2021 Accepting new patients
Port City Emergency Physicians LLP Nurse Practitioner CurrentSince Jul 29, 2021 Accepting new patients

Locations

510 S 4th St
Ste 2
Fulton, NY 13069
Phone (315) 592-3510

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

3858 State Route 13
Pulaski, NY 13142
Phone (315) 298-2273

Interoperability endpoints

  • Direct secure messaging: shannon.strong@pulaskiurgentcare.chartmakerdirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1669049599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 STANLEY AVE",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266506",
            "telephone_number": "315-402-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 STANLEY AVE",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266506",
            "telephone_number": "315-402-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRONG",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "575704",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "347997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.