SHANNON LEE MYERS (CRNP) – Family Nurse Practitioner, NPI 1487169249

SHANNON LEE MYERS (CRNP) is a healthcare provider. based in Ellwood city, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. F11170214 (PA). The NPI Number for SHANNON LEE MYERS (CRNP) is 1487169249

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON LEE MYERS (CRNP)
NPI
1487169249
Phone
(724) 752-0081
Address
724 PERSHING ST
Enumeration Date
2 December 2017
Last Update Date
2 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7247288751
Graduation Year
2017 (9 years ago)
PAC ID
1951663202
Group Practice PAC ID
0042105678
Professional Enrollment ID
I20180326001400
Address ID
PA150091957BE500XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

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Provider Addresses for SHANNON LEE MYERS (CRNP)

  • Ellwood City Hospital, 724, Pershing Street, Ellwood City, Lawrence County, Pennsylvania, 16057, United States

    ELLWOOD CITY, PA 161171474

    Phone: (724) 752-0081

    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)

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: 2018-03-26

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
I20180326001400INurse PractitionerPATBD

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 16117)

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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: 0042105678View full group profile
NameSpecialtyState
-PA
-PA
-PA
Physician AssistantPA
-PA
H O S P I T A L I S TPA
Interventional Cardiology, Cardiovascular Disease (Cardiology)PA
Physician AssistantNY
-NC
Internal MedicinePA

Reviews

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Frequently asked questions

What NPI should I save for SHANNON LEE MYERS (CRNP)?
Save NPI 1487169249 if you need a stable reference for SHANNON LEE MYERS (CRNP).
Is SHANNON LEE MYERS (CRNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SHANNON LEE MYERS (CRNP)'s specialty in plain language?
Clinically, the directory lists SHANNON LEE MYERS (CRNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for SHANNON LEE MYERS (CRNP)?
We surface Ellwood City, Pennsylvania for SHANNON LEE MYERS (CRNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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