Individual provider Active NPI

Shannon Wright Fegan, PA

  • Physician Assistant
  • Chambersburg, PA
National Provider Identifier
1780603878
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050908 Issued in PA
Practice address
2055 Scotland Ave
Chambersburg, PA 17201-1451
Phone
(717) 217-4963
Fax
(717) 217-2901
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA050908 PA
Physician Assistant 363A00000X MA050908 PA Primary

Addresses

Primary practice location

2055 Scotland Ave
Chambersburg, PA 17201-1451

Mailing address

109 Rayloc Dr
Hancock, MD 21750-1518
Phone (301) 678-5187

Other practice location 1

214 Peach Orchard Rd
Mc Connellsburg, PA 17233-8559
Phone (717) 485-3155 ext. 6375

Other identifiers 2

IdentifierTypeStateIssuer
1007288800006MedicaidPA
391960OtherPAMEDICARE FQHC

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
I20170503001910 PA Practitioner - Physician Assistant 6103061551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fulton County Medical CenterGroup PAC ID 6406841295, shared by 6 NPIs, 27 clinicians
Good Samaritan Physician ServicesGroup PAC ID 5496728172, 102 clinicians

Practice addresses (Care Compare)

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone 71748531556375

844 Tuck St
Lebanon, PA 17042-7477
Phone (717) 639-3150

Hospital & facility affiliations

  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Fulton County Medical Center Hospital, McConnellsburg, PA, CCN 391303
  • Brookview Health Care Center Nursing home, Chambersburg, PA, CCN 395012

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Medical Center Family Medicine CurrentSince Apr 8, 2017 Accepting new patients
Good Samaritan Physician Services CurrentSince Aug 15, 2025 Accepting new patients
Fulton County Medical Center Family Medicine CurrentSince Jul 13, 2022 Accepting new patients
Good Samaritian Physician Services Family Medicine CurrentSince Aug 15, 2025 Accepting new patients
Fulton County Medical Center CurrentSince Apr 8, 2017 Accepting new patients
Great Cove Integrative Medicine LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Good Samaritan Physician Services Family Medicine Past Accepting new patients
Fulton County Medical Center Past Accepting new patients

Locations

2055 Scotland Ave
Chambersburg, PA 17201
Phone (717) 217-4963

844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: sfegan242442@wellspan.direct-ci.com

Organizations & group practices 11

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 6

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1780603878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RAYLOC DR",
            "city": "HANCOCK",
            "state": "MD",
            "postal_code": "217501518",
            "telephone_number": "301-678-5187",
            "fax_number": "301-678-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 SCOTLAND AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011451",
            "telephone_number": "717-217-4963",
            "fax_number": "717-217-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Peach Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Connellsburg",
            "state": "PA",
            "postal_code": "172338559",
            "country_code": "US",
            "telephone_number": "717-485-3155 x6375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEGAN",
        "first_name": "SHANNON",
        "middle_name": "WRIGHT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MA050908",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007288800006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FQHC",
            "identifier": "391960",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.