Shannon T. Evellis, PA-C
NPI 1174810808ActiveIndividual· Physician Assistant· Queensbury, NY
Physician Assistant (PA-C) in Queensbury, New York, trained at Albany Medical College of Union University (class of 2011). Their prescriptions cost Medicare Part D more than their services did: $1,090,844 for 9,381 claims, against $1,675 paid for services in 2024.
Overview
| NPI | 1174810808 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 1, 2011 |
| Last updated in NPPES | Oct 8, 2026 |
| Certified by provider | Oct 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 014844 | NY |
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 - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 85 |
|---|---|
| Services billed | 122 across 22 procedure codes |
| Paid by Medicare | $1,675 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,381 · 17,326 30-day fills |
|---|---|
| Patients | 709 |
| Total drug cost | $1,090,844 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | Albany Medical College of Union University |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Physician Assistant |
Medical group
- Hudson Headwaters Health NetworkGlens Falls, NY · 215 clinicians
Hospital affiliation
- Glens Falls HospitalGlens Falls, NY
Other facilities
- Eddy Visiting Nurse & Rehab AssociationHome health agency · Troy, NY
- Vna Home HealthHome health agency · Albany, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 physician assistants in Queensbury · All physician assistants in New York