Active NPI
James P. Shannon, CRNA
- Certified Registered Nurse Anesthetist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 807241
- Practice address
- 121 Dekalb Ave
Brooklyn, NY 11201-5493 - Phone
- (718) 250-8000
- NPI assigned
- Mar 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN2313996 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | 807241 | NY | Primary |
Addresses
Primary practice location
121 Dekalb Ave
Brooklyn, NY 11201-5493
Mailing address
255 W Michigan Ave
PO Box 1123
Jackson, MI 49201-2218
Phone (517) 787-6440
Other practice location 1
1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (617) 638-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277
45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500
47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amsurg Mdsine Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Pioneer Sedation PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Weill Medical College of Cornell | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lowell Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Current | Accepting new patients |
Locations
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
59 Lowes Way
Lowell, MA 01851
Phone (617) 733-4166
15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273
3550 Main St
Ste 103
Springfield, MA 01107
Phone (413) 788-9700
55 Saint George Rd
Springfield, MA 01104
Phone (413) 276-4543
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
170 William St
New York, NY 10038
Phone (212) 238-0100
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
300 Community Dr
Plandome, NY 11030
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
- Certified Registered Nurse Anesthetist
- New York, NY
- NPI 1164768305
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, MA
- NPI 1932521366
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lowell, MA
- NPI 1063938934
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Springfield, MA
- NPI 1154886810
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
Nurse Anesthetist, Certified Registered
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Specialist
- Brighton, MA
- NPI 1356654495
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1891226353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"address_2": "PO BOX 1123",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "517-787-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015493",
"telephone_number": "718-250-8000"
}
],
"practiceLocations": [
{
"address_1": "1 Boston Medical Ctr Pl",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182908",
"country_code": "US",
"telephone_number": "617-638-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANNON",
"first_name": "JAMES",
"middle_name": "P.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-25",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2313996",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "807241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.