SHANNON LEIGH NICHOLSON (CFNP) – Family Nurse Practitioner, NPI 1457507717

SHANNON LEIGH NICHOLSON (CFNP) is a healthcare provider. based in Lansdowne, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials CFNP. They hold a License No. 0024167932 (VA). The NPI Number for SHANNON LEIGH NICHOLSON (CFNP) is 1457507717

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON LEIGH NICHOLSON (CFNP)
NPI
1457507717
Phone
(703) 729-5010
Address
19455 DEERFIELD AVE
Enumeration Date
18 August 2008
Last Update Date
21 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037295010
Graduation Year
2008 (18 years ago)
PAC ID
9638346083
Group Practice PAC ID
5597842096
Professional Enrollment ID
I20120125000663
Address ID
VA201768102LA19455AVEX310
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

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Provider Addresses for SHANNON LEIGH NICHOLSON (CFNP)

  • Allergy Asthma & Immunology Institute: Laura Ispas-Ponas, MD, 19455, Deerfield Avenue, Lansdowne Woods of Virginia, Lansdowne, Loudoun County, Virginia, 20176, United States

    SUITE 312

    LANSDOWNE, VA 201768100

    Phone: (703) 729-5010

    Fax: (703) 729-5833

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2023-03-27 • Largest payer in this snapshot: Smith+Nephew, Inc. ($57).

Total Amount

$57

General + Research + Ownership

Payments

2

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$57
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: 2012-01-25

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
I20120125000663INurse PractitionerVATBD

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
20610Aspiration and/or injection of fluid from large joint15242$0
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose14232$0
J2795Injection, ropivacaine hydrochloride, 1 mg6013$0
99213Established patient office or other outpatient visit, 20-29 minutes5839$0
73560X-ray of knee, 1-2 views4331$0
View full utilization report →

Insurance plans in this area (ZIP 20176)

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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: 5597842096View full group profile
NameSpecialtyState
Physician AssistantMD
Orthopedic SurgeryVA
Orthopedic SurgeryVA

Reviews

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Frequently asked questions

What federal number belongs to SHANNON LEIGH NICHOLSON (CFNP)?
The federal identifier for SHANNON LEIGH NICHOLSON (CFNP) is NPI 1457507717.
Is SHANNON LEIGH NICHOLSON (CFNP) active in the national directory?
SHANNON LEIGH NICHOLSON (CFNP)'s public NPI profile is in an active state.
Does SHANNON LEIGH NICHOLSON (CFNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for SHANNON LEIGH NICHOLSON (CFNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for SHANNON LEIGH NICHOLSON (CFNP)?
The page summarizes Lansdowne, Virginia for SHANNON LEIGH NICHOLSON (CFNP); expand the address list for detail.
Is SHANNON LEIGH NICHOLSON (CFNP) a real provider?
This page reflects official NPPES data for NPI 1457507717. Always confirm identity and privileges with the practice and licensing boards.

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