SHANNAN ELIZABETH MCCANN (M.D.) – Dermatology Physician, NPI 1710968227

SHANNAN ELIZABETH MCCANN (M.D.) is a healthcare provider. based in Jbsa lackland, Texas. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. R7063 (TX). The NPI Number for SHANNAN ELIZABETH MCCANN (M.D.) is 1710968227

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SHANNAN ELIZABETH MCCANN (M.D.)
NPI
1710968227
Phone
(210) 292-5350
Address
2200 BERGQUIST DR STE 1
Enumeration Date
10 November 2005
Last Update Date
11 October 2024

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
8309719151
Graduation Year
2002 (24 years ago)
PAC ID
2668622689
Group Practice PAC ID
8022371988
Professional Enrollment ID
I20231104000421
Address ID
TX780063312BO1580XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for SHANNAN ELIZABETH MCCANN (M.D.)

  • 2200 BERGQUIST DR STE 1

    JBSA LACKLAND, TX 782369908

    Phone: (210) 292-5350

    Fax: (210) 292-3781

    Type: Mailing

  • 1100 WILFORD HALL LOOP, BLDG 4554

    ATTN: 59 MDW/SGHC

    JBSA-LACKLAND, TX 78245

    Phone: (210) 416-5965

    Type: Location

  • 3320 Oakwell Ct

    San Antonio, TX 782183128

    Phone: (210) 829-5180

    Fax: (210) 829-5030

    Type: Location

  • 8019 S New Braunfels Ste 120

    San Antonio, TX 782351069

    Phone: (210) 829-5180

    Type: Location

  • 3349 S Highway 181 Ste 6

    Kenedy, TX 781195247

    Phone: (210) 829-5180

    Type: Location

  • 1763 Medical Way

    New Braunfels, TX 781325414

    Phone: (210) 829-5180

    Type: Location

  • 1100 WILFORD HALL LOOP BLDG 4554

    JBSA LACKLAND, TX 782365638

    Phone: (210) 292-3376

    Fax: (210) 292-3781

    Type: Mailing

  • 3320 OAKWELL CT

    SAN ANTONIO, TX 782183128

    Phone: (210) 829-5180

    Fax: (210) 829-5030

    Type: Mailing

  • 21727 IH-10 WEST

    2ND FLOOR, SUITE 202

    SAN ANTONIO, TX 78257

    Phone: (210) 829-5180

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,513.

Total Amount is formed as General ($1,513) + Research ($0) + Ownership ($0) = $1,513.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($262).

Total Amount

$1,513

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,513

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-11-04

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
I20231104000421IDermatologyTXTBD

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 78236)

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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: 8022371988View full group profile
NameSpecialtyState
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

What unique ID ties claims to SHANNAN ELIZABETH MCCANN (M.D.)?
NPI 1710968227 is assigned to SHANNAN ELIZABETH MCCANN (M.D.) under the national enumeration system.
Is SHANNAN ELIZABETH MCCANN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SHANNAN ELIZABETH MCCANN (M.D.)?
The page reflects Dermatology Physician for SHANNAN ELIZABETH MCCANN (M.D.). Clinical services aligned with this taxonomy classification.
Does SHANNAN ELIZABETH MCCANN (M.D.) practice in Texas?
You will see Jbsa Lackland, Texas on file for SHANNAN ELIZABETH MCCANN (M.D.) alongside any extra practice locations.
What if Jbsa Lackland, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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