SHANNON R HEALY (N.P.) – Family Nurse Practitioner, NPI 1093067688

SHANNON R HEALY (N.P.) is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. RN277208 (MA). The NPI Number for SHANNON R HEALY (N.P.) is 1093067688

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON R HEALY (N.P.)
NPI
1093067688
Phone
(508) 863-1344
Address
602 E 2ND ST
Enumeration Date
8 October 2012
Last Update Date
9 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817849212
Graduation Year
2012 (14 years ago)
PAC ID
9537312269
Group Practice PAC ID
6800787714
Professional Enrollment ID
I20130109000260
Address ID
MA020672015SH93XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for SHANNON R HEALY (N.P.)

  • 602 E 2ND ST

    UNIT C

    BOSTON, MA 021271513

    Phone: (508) 863-1344

    Type: Mailing

  • 1000 BROADWAY

    CHELSEA, MA 021502247

    Phone: (617) 975-6200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2013-01-09

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
I20130109000260INurse PractitionerMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02127)

Loading plans...

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: 6800787714View full group profile
NameSpecialtyState
Nurse PractitionerMA
Internal MedicineMA
-MA
Physician AssistantMA
-MA
Nurse PractitionerMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
-MA
Family PracticeMA
Family PracticeMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is SHANNON R HEALY (N.P.)'s NPI number?
SHANNON R HEALY (N.P.)'s NPI is 1093067688 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SHANNON R HEALY (N.P.)?
For scheduling context, SHANNON R HEALY (N.P.) is shown as active in the registry.
How would a patient describe SHANNON R HEALY (N.P.)'s focus?
For SHANNON R HEALY (N.P.), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SHANNON R HEALY (N.P.) located near Boston?
SHANNON R HEALY (N.P.) currently maps to Boston, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

MAURICE MELCHIONO (RN, MS, C-FNP)

Family Nurse Practitioner
CHILDREN'S HOSPITAL, 300 LONGWOOD AVE.
NPI: 1215930615

MS. MARY KATHLEEN SMITH (NP)

Family Nurse Practitioner
Cary W. Akins Pavilion, 780, Albany Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States
NPI: 1972507325

MARY LYNN FAHEY (ARNP)

Family Nurse Practitioner
Shattuck Way, Newington Station, Newington, Rockingham County, New Hampshire, 03801, United States
NPI: 1750386389

MS. THERESA CLARE WEIR (MSN, FNP)

Adult Health Nurse Practitioner
Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
NPI: 1699772715

KIMBERLY ANISE POWERS (RN, MSN, FNP)

Family Nurse Practitioner
Hawthorne Place, West End, Boston, Suffolk County, Massachusetts, United States
NPI: 1417949041

JEAN M BERNHARDT (RN FNP)

Family Nurse Practitioner
332, Hanover Street, Dock Square, North End, Boston, Suffolk County, Massachusetts, 02113, United States
NPI: 1265428072

KIM M TREMBLAY (N.P.)

Primary Care Nurse Practitioner
Riverwalk Building 1, 354, Merrimack Street, Lawrence, Essex County, Massachusetts, 01842, United States
NPI: 1265429229

FAYE F HUANG (NP)

Family Nurse Practitioner
Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
NPI: 1366432353

DOROTHY L MURPHY (ARNP)

Family Nurse Practitioner
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1922098821