SHANNON FITZPATRICK (MD) – Orthopaedic Hand Surgery Physician, NPI 1093126807

SHANNON FITZPATRICK (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in HAND SURGERY, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. C1-0026265 (DE). The NPI Number for SHANNON FITZPATRICK (MD) is 1093126807

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON FITZPATRICK (MD)
NPI
1093126807
Phone
Not provided
Address
PO BOX 1119
Enumeration Date
14 May 2014
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
3026443311
Graduation Year
2014 (12 years ago)
PAC ID
3678827136
Group Practice PAC ID
6103800057
Professional Enrollment ID
I20230831001373
Address ID
DE199584988LE12100DRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

27 HAND SURGERY in RI

Provider Addresses for SHANNON FITZPATRICK (MD)

  • PO BOX 1119

    PROVIDENCE, RI 029011119

    Phone:

    Type: Mailing

  • 2 DUDLEY ST STE 200

    PROVIDENCE, RI 029053248

    Phone: (401) 457-2168

    Type: Location

  • 211 EXECUTIVE DR STE 11

    NEWARK, DE 197023358

    Phone: (302) 731-2888

    Fax: (302) 731-7049

    Type: Mailing

  • 12100 BLACK SWAN DR STE 201

    LEWES, DE 199584991

    Phone: (302) 644-3311

    Fax: (302) 644-3300

    Type: Location

  • 4727 E CAMP LOWELL DR

    TUCSON, AZ 857121256

    Phone: (520) 290-4263

    Fax: (520) 290-6300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $463.

Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Smith+Nephew, Inc. ($313).

Total Amount

$463

General + Research + Ownership

Payments

5

Total payment records

General Amount

$463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-08-31

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
I20230831001373IHand SurgeryDETBD

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 minutes579416$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg553331$0
20550Injection into tendon or ligament240174$0
99203New patient office or other outpatient visit, 30-44 minutes204204$0
73140X-ray of finger, minimum of 2 views180126$0
View full utilization report →

Insurance plans in this area (ZIP 02901)

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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: 6103800057View full group profile
NameSpecialtyState
Physician AssistantDE
Physical Therapist In Private PracticeDE
Physician AssistantDE
Physician AssistantDE
Orthopedic SurgeryDE
Physical Therapist In Private PracticeDE
Diagnostic RadiologyFL
Physician AssistantDE
P O D I A T R YDE
Diagnostic RadiologyCT

Reviews

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Frequently asked questions

What is the registry number for SHANNON FITZPATRICK (MD)?
The registry entry for SHANNON FITZPATRICK (MD) shows NPI 1093126807.
Quick check: is SHANNON FITZPATRICK (MD) active?
Public NPPES data shows SHANNON FITZPATRICK (MD) with an active NPI status right now.
What does the directory say SHANNON FITZPATRICK (MD) does?
Insurance directories may phrase it differently, but here SHANNON FITZPATRICK (MD) maps to Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHANNON FITZPATRICK (MD)?
SHANNON FITZPATRICK (MD) is associated with Providence, Rhode Island in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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