Individual provider Active NPI

Shannon Elisabeth Schellenberg, MPA, PA-C

  • Surgical Physician Assistant
  • Richmond, VA
National Provider Identifier
1891715132
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110002320 Issued in VA
Practice address
1651 N Parham Rd
Richmond, VA 23229-4605
Phone
(804) 288-8204
NPI assigned
Jul 20, 2006
Last updated
Jan 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110-002320 VA
Surgical Physician Assistant 363AS0400X 0110002320 VA Primary

Addresses

Primary practice location

1651 N Parham Rd
Richmond, VA 23229-4605

Mailing address

1651 N Parham Rd
Richmond, VA 23229-4605
Phone (804) 288-8204

Other names 1

  • Miss Shannon Elisabeth Andersen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090203000595 VA Practitioner - Physician Assistant 6608930813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.32 of 100Reported as group
Quality
65.53
Promoting interoperability
85
Improvement activities
40
Cost
68.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-002320VAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: shannonschellenberg@neurosurgi.allscriptsdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1891715132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294605",
            "telephone_number": "804-288-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 N PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294605",
            "telephone_number": "804-288-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLENBERG",
        "first_name": "SHANNON",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "MPA, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-002320",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110002320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "ANDERSEN",
            "middle_name": "ELISABETH",
            "prefix": "MISS",
            "credential": "MAIDEN NAME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.