SHANNON POHL (PA-C) – Medical Physician Assistant, NPI 1255629242

SHANNON POHL (PA-C) is a healthcare provider. based in Lakewood ranch, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9106061 (FL). The NPI Number for SHANNON POHL (PA-C) is 1255629242

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON POHL (PA-C)
NPI
1255629242
Phone
(941) 757-4820
Address
10920 TECHNOLOGY TER
Enumeration Date
12 July 2011
Last Update Date
8 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9419524250
Graduation Year
2011 (15 years ago)
PAC ID
5597936005
Group Practice PAC ID
7012282775
Professional Enrollment ID
I20110913000827
Address ID
FL342856046VE997XXNXXX601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for SHANNON POHL (PA-C)

  • 10920 TECHNOLOGY TER

    LAKEWOOD RANCH, FL 342114930

    Phone: (941) 757-4820

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2023-05-20 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($140).

Total Amount

$140

General + Research + Ownership

Payments

1

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110913000827IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 34211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012282775View full group profile
NameSpecialtyState
Nurse PractitionerFL
Emergency MedicineFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerTN
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerIL
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify SHANNON POHL (PA-C) for billing?
Administrative and clinical systems typically use NPI 1255629242 for SHANNON POHL (PA-C).
Should I treat SHANNON POHL (PA-C) as an active provider?
Patients and plans typically see SHANNON POHL (PA-C) as active in the national extract.
What services align with SHANNON POHL (PA-C)'s listing?
SHANNON POHL (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit SHANNON POHL (PA-C) in Lakewood Ranch, Florida?
For routing, start with Lakewood Ranch, Florida for SHANNON POHL (PA-C), then verify phone and hours locally.
Can I export SHANNON POHL (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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