Shannon R. Packer, PA-C
NPI 1861825259ActiveIndividual· Physician Assistant, Medical· Glastonbury, CT
Physician Assistant, Medical (PA-C) in Glastonbury, Connecticut, licensed in CT, with an NPI issued in August 2013. Medicare paid $28,980 for services to 214 patients in 2024. Abbott Laboratories reported $23.91 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1861825259 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 20, 2013 |
| Last updated in NPPES | Jul 11, 2023 |
| Certified by provider | Jul 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 23.002946 | CT |
| Physician Assistant | 363A00000X | 2946 | CT |
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 (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 214 |
|---|---|
| Services billed | 522 across 5 procedure codes |
| Paid by Medicare | $28,980 |
Industry payments (Open Payments)
- 2024$23.91 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $23.91 | 1 |
What the 2024 payments were for
- Food and Beverage$23.91 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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