Shannon M Picchi, A-GNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F311080 Issued in NY

Practice address

1991 Balsley Rd
Seneca Falls, NY 13148-9797

Phone

(315) 539-9229

NPI assigned

Nov 21, 2022

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: s.picchi@flhmedical.medentdirect.com

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.

• Soldiers & Sailors Memorial Hospital

  • Critical Access Hospital
  • Penn Yan, NY
  • NPI 1215044516
  Medicare reassignment NPD
• Soldiers & Sailors Memorial Hospital

  dba Soldiers & Sailors Memorial Hospital Hospitalist

  • Emergency Medicine Physician
  • Penn Yan, NY
  • NPI 1043353618
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1679282537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E WRIGHT AVE",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651111",
            "telephone_number": "315-651-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 BALSLEY RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489797",
            "telephone_number": "315-539-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCHI",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Palmer
• Gail Parks
• Alexandra Pereira Rivera, DC
• Linda Santoro Peter
• Van Thi Kim Pham, FNP
• Kathleen V. Pivacek, LMSW
• Scott P. Pranis, LMSW
• Presence Psychology, LMSW, PT, OT and SLP Services, PLLC (Presence Developmental Services)
• Presence Sealy Counseling and Development Licensedclinicalservicespllc (Presence Counseling Services)
• Samali Akoth Rathbun, FNP

• Adult Health Nurse Practitioner in Seneca Falls, NY
• Providers in Seneca Falls, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.