Shannon Wright Gordon, RPAC
NPI 1265674014 · Physician Assistant · Mineola, NY
Enrolled with Medicare as Order and Referring Only - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Wright Gordon, RPAC is a Physician Assistant provider in Mineola, NY (NPI 1265674014).
Provider details
- NPI number
- 1265674014
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RPAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 013048 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 475 Kilvert StWarwick, RI 02886-1379Phone: (919) 172-8471
Registry dates
- Enumerated
- 2009-03-25
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Frequently asked questions
- What is Shannon Wright Gordon's NPI number?
- Shannon Wright Gordon's National Provider Identifier (NPI) is 1265674014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Wright Gordon's specialty?
- Shannon Wright Gordon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Wright Gordon located?
- Shannon Wright Gordon's practice location on file with NPPES is 259 1st St, Mineola, NY 11501-3957.
- What is Shannon Wright Gordon's phone number?
- The practice phone number listed in the NPPES registry for Shannon Wright Gordon is (516) 663-8312.
- Does Shannon Wright Gordon accept Medicare?
- Shannon Wright Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Wright Gordon's NPI active?
- Yes — Shannon Wright Gordon's NPI (1265674014) is active in the NPPES registry as of the last update on 2026-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.