Individual provider Active NPI

Shannon Paolino

  • Physician Assistant
  • Phoenixville, PA
National Provider Identifier
1942844816
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061262 Issued in PA
Practice address
140 Nutt Rd
Phoenixville, PA 19460-3906
Phone
(484) 628-3637
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061262 PA Primary

Addresses

Primary practice location

140 Nutt Rd
Phoenixville, PA 19460-3906

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-0799

Other names 1

  • Shannon Stenson Former name

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
I20200110001376 PA Practitioner - Physician Assistant 7315372851 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Urgent Care, LLCGroup PAC ID 2668716069, 57 clinicians

Practice addresses (Care Compare)

1050 E Philadelphia Ave
Gilbertsville, PA 19525-9517
Phone (610) 561-6400

1139 Ben Franklin Hwy W
Suite 114
Douglassville, PA 19518-1853
Phone (610) 385-4444

16 Glocker Way
Pottstown, PA 19465-9655
Phone (484) 659-1500

33 W Ridge Pike
Suite 627
Limerick, PA 19468-1824
Phone (610) 226-6200

4603 Perkiomen Ave
Reading, PA 19606-3217
Phone (484) 750-3895

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince Feb 10, 2020 Accepting new patients
Jefferson University Physicians CurrentSince Jun 10, 2024 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

900 Walnut St
#2
Philadelphia, PA 19107

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

2230 Cottman Ave
Philadelphia, PA 19149
Phone (215) 685-0603

1900 N 20th St
Philadelphia, PA 19121
Phone (215) 685-2933

4400 Haverford Ave
Philadelphia, PA 19104
Phone (215) 685-7504

131 E Chelten Ave
Philadelphia, PA 19144
Phone (215) 685-5701

1700 S Broad St
Philadelphia, PA 19145
Phone (215) 685-1803

2301 S Broad St
Fl 2
Philadelphia, PA 19148
Phone (215) 952-9148

555 S 43rd St
Philadelphia, PA 19104
Phone (215) 685-7500

321 W Girard Ave
Philadelphia, PA 19123
Phone (215) 685-3803

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

Organizations & group practices 5

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.

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1942844816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NUTT RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603906",
            "telephone_number": "484-628-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINO",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "STENSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.