Mary M. Shannon, CRNP
NPI 1104816073ActiveIndividual· Nurse Practitioner, Family· Kittanning, PA
Nurse Practitioner, Family (CRNP) in Kittanning, Pennsylvania, licensed in PA, with an NPI issued in October 2005. Mostly services rather than prescriptions: Medicare paid $7,469 for 32 patients in 2024, with only 27 Part D claims. Boston Scientific Corporation reported $70.16 in payments in 2025, mostly food and beverage. Lists Acmh Hospital as a hospital affiliation.
Overview
| NPI | 1104816073 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | No |
| NPI issued | Oct 24, 2005 |
| Last updated in NPPES | Jul 16, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | SP007840 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 137 across 16 procedure codes |
| Paid by Medicare | $7,469 |
Part D prescriptions in 2024
| Prescriptions (claims) | 27 · 29 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $3,672 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Hospital affiliation
- Acmh HospitalKittanning, PA
Industry payments (Open Payments)
- 2025$70.16 · 1 payment from 1 company
- 2024$64.69 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $70.16 | 1 |
What the 2025 payments were for
- Food and Beverage$70.16 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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