Shannon Marie Nicosia, FNP in State College, PA

Shannon Marie Nicosia, FNP is a medicare enrolled "Nurse Practitioner" in State College, Pennsylvania. Her current practice location is 200 Scenery Dr, State College, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 271-6516.

Shannon Marie Nicosia is licensed to practice in Pennsylvania (license number SP025407) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114539269.

Contact Information

	Shannon Marie Nicosia, FNP
	200 Scenery Dr, State College, PA 16801-7974
	(570) 271-6516
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Marie Nicosia
Gender	Female
Speciality	Nurse Practitioner
Location	200 Scenery Dr, State College, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114539269
Provider Enumeration Date: 08/20/2020
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8426464298
Enrollment ID: I20210303001581

Medical Identifiers

Medical identifiers for Shannon Marie Nicosia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114539269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	346354 (New York)	Secondary
363L00000X	Nurse Practitioner	SP025407 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon Marie Nicosia allows following entities to bill medicare on her behalf.

Entity Name	Flh Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215174644 PECOS PAC ID: 6507922358 Enrollment ID: O20090304000165

Entity Name	Soldiers & Sailors Memorial Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1215044516 PECOS PAC ID: 0446164255 Enrollment ID: O20210407000450

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Marie Nicosia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shannon Marie Nicosia, FNP 161 Harvest Hill Ln, Spring Mills, PA 16875-1610 Ph: (814) 360-8827	Shannon Marie Nicosia, FNP 200 Scenery Dr, State College, PA 16801-7974 Ph: (570) 271-6516

Reviews and Comments

Nurse Practitioner Nurses in State College, PA

Melissa Ann Wallace, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 University Dr, State College, PA 16801 Phone: 814-238-8418 Fax: 814-234-2888
Katy Nelson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-4980
Kimberly Anne Handel, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 310, State College, PA 16803 Phone: 814-863-8492
Michelle M. Black, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169
Karen E. Cherinka, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 E Park Ave Ste 312, State College, PA 16803 Phone: 814-689-3156 Fax: 814-689-1954
Jennifer Nicole Bailey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 Elmore Research Wing, University Park, State College, PA 16802 Phone: 814-865-4302 Fax: 814-865-0351
Lorella G Thomas, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246

Shannon Marie Nicosia, FNP - Medicare Nurse Practitioner in State College, PA