SHANNON MARY GILES – Women's Health Nurse Practitioner, NPI 1679143614

SHANNON MARY GILES is a healthcare provider. based in Burlington, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2330467 (MA). The NPI Number for SHANNON MARY GILES is 1679143614

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON MARY GILES
NPI
1679143614
Phone
(781) 744-8000
Address
41 Mall Rd
Enumeration Date
1 July 2021
Last Update Date
25 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
0547646622
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20220927001184
Address ID
MA018050001Bu41XXXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for SHANNON MARY GILES

  • 41 Mall Rd

    Burlington, MA 018052907

    Phone: (781) 744-8000

    Type: Location

  • 425 GREAT POND RD

    EASTHAM, MA 026424204

    Phone: (860) 819-4449

    Type: Mailing

  • 736 CAMBRIDGE ST FL 5

    BRIGHTON, MA 021352907

    Phone: (860) 819-4449

    Type: Location

  • 41 MALL RD

    BURLINGTON, MA 018052907

    Phone: (781) 744-8000

    Type: Location

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 $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2023-04-27 • Largest payer in this snapshot: Astellas Pharma US Inc ($55).

Total Amount

$55

General + Research + Ownership

Payments

1

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$55
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: 2022-09-27

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
I20220927001184INurse 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 01805)

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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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

How do I look up SHANNON MARY GILES by NPI?
Use NPI 1679143614 when you need to reference SHANNON MARY GILES in forms, claims, or directories.
Is SHANNON MARY GILES active in the national directory?
SHANNON MARY GILES's public NPI profile is in an active state.
What does SHANNON MARY GILES treat or focus on?
Patients typically see SHANNON MARY GILES under the specialty Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for SHANNON MARY GILES?
The page summarizes Burlington, Massachusetts for SHANNON MARY GILES; expand the address list for detail.
How can I contact SHANNON MARY GILES?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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