Lisa Shannon DO, PA
NPI 1639718836 · Primary Care Clinic/Center · Bradenton, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Shannon DO, PA is a Primary Care Clinic/Center organization in Bradenton, FL (NPI 1639718836).
Provider details
- NPI number
- 1639718836
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Shannon, Physician(941) 746-4151
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2020-01-06
- Last updated
- 2023-09-06
- Certified
- 2020-01-06
Frequently asked questions
- What is Lisa Shannon DO, PA's NPI number?
- Lisa Shannon DO, PA's National Provider Identifier (NPI) is 1639718836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lisa Shannon DO, PA?
- Lisa Shannon DO, PA is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lisa Shannon DO, PA located?
- Lisa Shannon DO, PA's practice location on file with NPPES is 250 2nd St E Ste 3b, Bradenton, FL 34208-1027.
- What is Lisa Shannon DO, PA's phone number?
- The practice phone number listed in the NPPES registry for Lisa Shannon DO, PA is (941) 746-4151.
- Does Lisa Shannon DO, PA accept Medicare?
- Lisa Shannon DO, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lisa Shannon DO, PA?
- The authorized official listed on Lisa Shannon DO, PA's NPPES record is Lisa Shannon, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lisa Shannon DO, PA's NPI active?
- Yes — Lisa Shannon DO, PA's NPI (1639718836) is active in the NPPES registry as of the last update on 2023-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.