SHANNON DELONG (PA-C) – Physician Assistant, NPI 1497752679

SHANNON DELONG (PA-C) is a healthcare provider. based in Winter garden, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9101942 (FL). The NPI Number for SHANNON DELONG (PA-C) is 1497752679

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON DELONG (PA-C)
NPI
1497752679
Phone
(407) 614-0528
Address
2000 FOWLER GROVE BLVD FL 3
Enumeration Date
5 July 2005
Last Update Date
8 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078314040
Graduation Year
1999 (27 years ago)
PAC ID
0345264263
Group Practice PAC ID
1557722410
Professional Enrollment ID
I20060118000971
Address ID
FL327015102AL661XXDRXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for SHANNON DELONG (PA-C)

  • Fowler Grove Boulevard, Winter Garden, Orange County, Florida, 34787-3525, United States

    WINTER GARDEN, FL 347875050

    Phone: (407) 614-0528

    Fax: (407) 614-0529

    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 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Abbott Laboratories ($48).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$48
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: 2006-01-18

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
I20060118000971IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes249104$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7474$0
G0444Annual depression screening, 5 to 15 minutes7272$0
G0442Annual alcohol misuse screening, 5 to 15 minutes7070$0
99213Established patient office or other outpatient visit, 20-29 minutes5243$0
View full utilization report →

Insurance plans in this area (ZIP 34787)

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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: 1557722410View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Family PracticeFL
Family Practice, Emergency MedicineFL
Family PracticeFL
Family PracticeLA
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantTX

Reviews

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Frequently asked questions

Is there an official ID for SHANNON DELONG (PA-C) in U.S. healthcare records?
The official identifier for SHANNON DELONG (PA-C) is NPI 1497752679.
Is SHANNON DELONG (PA-C) still an active registrant?
SHANNON DELONG (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with SHANNON DELONG (PA-C)?
SHANNON DELONG (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is SHANNON DELONG (PA-C) associated with Winter Garden?
Public fields place SHANNON DELONG (PA-C) around Winter Garden, Florida. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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