Individual provider Active NPI

Shannon Victoria Hodnett, PA-C

  • Physician Assistant
  • Plumsteadville, PA
National Provider Identifier
1750749651
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058110 Issued in PA
Practice address
5612 Easton Road
Plumsteadville, PA 18949-0866
Phone
(215) 766-8844
Fax
(215) 766-0733
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA003747 PA
Physician Assistant 363A00000X MA058110 PA Primary

Addresses

Primary practice location

5612 Easton Road
Plumsteadville, PA 18949-0866

Mailing address

PO Box 82430
Philadelphia, PA 19182-4320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160229000301 PA Practitioner - Physician Assistant 7416252515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plumsteadville Family PracticeGroup PAC ID 9335138155, 10 clinicians

Practice addresses (Care Compare)

5612 Easton Rd
Box 866
Plumsteadville, PA 18949-0866
Phone (215) 766-8844

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA003747PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ocular Telehealth PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shannon.sell@dhcp.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1750749651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82430",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824320",
            "fax_number": "215-762-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 EASTON ROAD",
            "city": "PLUMSTEADVILLE",
            "state": "PA",
            "postal_code": "189490866",
            "telephone_number": "215-766-8844",
            "fax_number": "215-766-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODNETT",
        "first_name": "SHANNON",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003747",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plumsteadville, PA

Sources for this page

Verify at the official NPI Registry.