Shannon Wound Care Consultants LLC
NPI 1649405960ActiveOrganization· Nurse Practitioner, Family· Chicora, PA
Nurse Practitioner, Family in Chicora, Pennsylvania, registered in NPPES in May 2009. The authorized official on file is Mary McVaugh Shannon, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649405960 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2009 |
| Last updated in NPPES | Jul 11, 2009 |
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 Part B Supplier - Clinic/Group Practice (PA) |
|---|
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