Individual provider Active NPI

Shannon Marie Lehman, CRNP

  • Family Nurse Practitioner
  • Meadville, PA
National Provider Identifier
1891094819
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011103 Issued in PA
Practice address
640 Alden St
Meadville, PA 16335-2348
Phone
(814) 373-5255
Fax
(814) 373-5259
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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 SP011103 PA Primary

Addresses

Primary practice location

640 Alden St
Meadville, PA 16335-2348

Mailing address

2501 W 12TH St Ste C7
Erie, PA 16505-4527
Phone (814) 452-7879

Other practice location 1

2501 W 12th St Ste C7
Erie, PA 16505-4527
Phone (814) 452-7879

Other identifiers 1

IdentifierTypeStateIssuer
0007230030015MedicaidPA

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
I20110512000499 PA Practitioner - Nurse Practitioner 1254517097 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP011103PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Feb 2, 2026 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

2501 W 12th St
Ste C7
Erie, PA 16505
Phone (814) 452-7879

2501 W 12th St
Ste C
Erie, PA 16505
Phone (814) 452-7879

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Interoperability endpoints

  • Direct secure messaging: shannon.lehman@directaddress.net

Organizations & group practices 1

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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1891094819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 12TH ST STE C7",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054527",
            "telephone_number": "814-452-7879",
            "fax_number": "814-455-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ALDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352348",
            "telephone_number": "814-373-5255",
            "fax_number": "814-373-5259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 W 12th St Ste C7",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165054527",
            "country_code": "US",
            "telephone_number": "814-452-7879",
            "fax_number": "814-455-2628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007230030015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.