SHANNON REX (PA) – Physician Assistant, NPI 1801370440

SHANNON REX (PA) is a healthcare provider. based in Centerville, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for SHANNON REX (PA) is 1801370440

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON REX (PA)
NPI
1801370440
Phone
(508) 360-1924
Address
25 HORATIO LN
Enumeration Date
19 September 2018
Last Update Date
19 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088332639
Graduation Year
2018 (8 years ago)
PAC ID
8325392533
Group Practice PAC ID
3577471564
Professional Enrollment ID
I20181106002691
Address ID
MA026013845HY46XXXSTXX306
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

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Provider Addresses for SHANNON REX (PA)

  • 25, Horatio Lane, Centerville, Barnstable, Barnstable County, Massachusetts, 02672, United States

    CENTERVILLE, MA 026323269

    Phone: (508) 360-1924

    Type: Mailing

  • 46, North Street, Hyannis, Barnstable, Barnstable County, Massachusetts, 02601-5542, United States

    HYANNIS, MA 026013845

    Phone: (508) 771-0006

    Type: Location

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 $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Medtronic, Inc. ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$37
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: 2018-11-06

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
I20181106002691IPhysician AssistantMATBD

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 minutes154137$0
99214Established patient office or other outpatient visit, 30-39 minutes10997$0
99203New patient office or other outpatient visit, 30-44 minutes3232$0
99212Established patient office or other outpatient visit, 10-19 minutes1918$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 02632)

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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: 3577471564View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMA
Nurse PractitionerMA
Physician AssistantMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
Family PracticeMA
Internal MedicineMA
Thoracic Surgery, General SurgeryMA
-MA
-NV
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

How is SHANNON REX (PA) identified in CMS data?
CMS-hosted NPPES data lists SHANNON REX (PA) with NPI 1801370440.
Is SHANNON REX (PA) still practicing?
SHANNON REX (PA) is currently listed as active in the public NPI registry.
What is SHANNON REX (PA) best known for clinically?
Directory data describes SHANNON REX (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect SHANNON REX (PA) on a map?
Expect Centerville, Massachusetts as a primary anchor for SHANNON REX (PA) unless the record lists multiple sites.
Why does SHANNON REX (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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