MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C) – Adult Health Nurse Practitioner, NPI 1053713453

MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, NP-C. They hold a License No. RN269120 (MA). The NPI Number for MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C) is 1053713453

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C)
NPI
1053713453
Phone
(508) 973-2000
Address
200 MILL RD STE 180
Enumeration Date
17 September 2014
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
4014154275
Graduation Year
2014 (12 years ago)
PAC ID
7012138860
Group Practice PAC ID
4587659255
Professional Enrollment ID
I20230209000753
Address ID
RI029045719PR1085XSTXX400

Contacts

Secure Messaging
saverydesmaris18686@direct.southcoast.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness95
Years active:11State licenses:1Other names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C)

  • 200 MILL RD STE 180

    FAIRHAVEN, MA 027195255

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • 450 BROOKLINE AVE

    BOSTON, MA 022155450

    Phone: (617) 632-6464

    Type: Location

  • 827 AMERICAN LEGION HWY

    WESTPORT, MA 027904128

    Phone: (508) 636-5101

    Fax: (508) 636-3651

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20141021001720INurse PractitionerMATBD
I20230209000753INurse PractitionerRITBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5453$0
99497Advance care planning, first 30 minutes2725$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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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: 4587659255View full group profile
NameSpecialtyState
Internal Medicine, Hospice/Palliative CareRI
Family PracticeRI
Nurse PractitionerRI
-RI
-RI
-MA
Internal MedicineRI
Hospice/Palliative CareRI
Hospice/Palliative CareNY
Nurse PractitionerRI

Reviews

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Frequently asked questions

What is the standard ID for MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C) in the U.S.?
In the U.S., MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C) is identified by NPI 1053713453.
Is MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C) currently accepting referrals based on NPI status?
Registry metadata lists MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C) as active.
What does the directory say MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C) does?
Insurance directories may phrase it differently, but here MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C) in Fairhaven, Massachusetts?
For routing, start with Fairhaven, Massachusetts for MS. SHANNON L AVERY-DESMARAIS (MSN, NP-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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