Individual provider Active NPI

Shannon Nichole Hewitt, NP-C

  • Family Nurse Practitioner
  • Travis Afb, CA
National Provider Identifier
1821413873
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001639 Issued in CA
Practice address
60 MDG/Sgic
101 Bodin Cir
Travis Afb, CA 94535-1800
Phone
(707) 423-3964
NPI assigned
Feb 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001639 CA Primary

Addresses

Primary practice location

60 MDG/Sgic
101 Bodin Cir
Travis Afb, CA 94535-1800

Mailing address

101 Bodin Cir
Travis Afb, CA 94535-1809
Phone (707) 423-3964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210901003642 HI Practitioner - Nurse Practitioner 7214110451 Reassigns benefits to 2 organizations
I20251203000581 DC Practitioner - Nurse Practitioner 7214110451 Reassigns benefits to 2 organizations
I20251222001392 VA Practitioner - Nurse Practitioner 7214110451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, shared by 24 NPIs, 1,821 clinicians

Practice addresses (Care Compare)

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960

44055 Riverside Pkwy
Suite 110
Leesburg, VA 20176-5155
Phone (703) 391-4500

8081 Innovation Park Dr
Fairfax, VA 22031-4867

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Nov 24, 2025 Accepting new patients
The Queens Medical Center CurrentSince Oct 18, 2021 Accepting new patients
The Queens Medical Center CurrentSince Oct 18, 2021 Accepting new patients
Inova Health Care Services CurrentSince Nov 24, 2025 Accepting new patients
The Queen'S Medical Center Current Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
Inova Health Care Services CurrentSince Nov 24, 2025 Accepting new patients
Inova Health Care Services CurrentSince Nov 24, 2025 Accepting new patients

Locations

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

550 S Beretania St
Ste 405
Honolulu, HI 96813
Phone (808) 691-8866

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

4400 W Braddock Rd
Alexandria, VA 22304
Phone (703) 379-6000

3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791

3620 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 264-7801

8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

44055 Riverside Pkwy
Ste 110
Leesburg, VA 20176
Phone (703) 391-4500

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: shewitt1457567@soc.inova.org

Organizations & group practices 8

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 4

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": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1821413873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MDG/SGIC",
            "address_2": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351800",
            "telephone_number": "707-423-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "SHANNON",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travis Afb, CA

Sources for this page

Verify at the official NPI Registry.