Shannon Mary Kehoe, PMHNP-BC - Nurse Practitioner in Waverly Township, PA

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Shannon Mary Kehoe, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Waverly Township, Pennsylvania. Shannon Mary Kehoe is licensed to practice in Pennsylvania (license number SP033640) and her current practice location is 107 Summerrules Rd, Waverly Township, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (858) 880-5976.

NPI number for Shannon Mary Kehoe is 1295612398 and her current mailing address is 107 Summerrules Rd, Waverly Township, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295612398.

Contact Information

Shannon Mary Kehoe, PMHNP-BC
107 Summerrules Rd,
Waverly Township, PA 18411-1095
(858) 880-5976
Not Available

Map and Direction




Provider's Profile

Full NameShannon Mary Kehoe
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location107 Summerrules Rd, Waverly Township, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295612398
  • Provider Enumeration Date: 08/19/2025
  • Last Update Date: 08/19/2025

Medical Identifiers

Medical identifiers for Shannon Mary Kehoe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295612398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health SP033640 (Pennsylvania)Primary

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 Mary Kehoe is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Mary Kehoe, PMHNP-BC
107 Summerrules Rd,
Waverly Township, PA 18411-1095

Ph: (858) 880-5976		Shannon Mary Kehoe, PMHNP-BC
107 Summerrules Rd,
Waverly Township, PA 18411-1095

Ph: (858) 880-5976

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Nurse Practitioner Nurses in Waverly Township, PA


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