Shannon Kelly, PA-C
Physician Assistant · New York, NY
Shannon Kelly, PA-C is a physician assistant with a practice address in New York, New York, and NPI 1508306309, issued on Feb 28, 2017. Check the license (New York 0205481, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shannon Kelly
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 0205481 NY
Self-reported in NPPES; status is on the state search - Practice location
- 159 E 74TH St, New York, NY 10021
- Phone
- (516) 732-1675
- Enumerated
- Feb 28, 2017
- Record last updated
- Feb 28, 2017 (not updated in 9 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 15,555 in New York → Look up another NPI →
Also registered at 159 E 74TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Shannon Kelly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 0205481Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $20.00
1 payment: food and beverage; the largest payer was Edwards Lifesciences Corporation. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Shannon Kelly among 15,555 physician assistant records in New York
Shannon Kelly, PA-C is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 47% of them.
- NPI issued2017 · 47% of these records are older, 49% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileNo · 52% of these records are
- Record last updated2017 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3,108 physician assistant records list a practice address in New York
They are 3,108 of the 98,468 NPPES records with a practice address in New York, and 15,555 physician assistant records in New York.
All 15,555 in New York → Every provider in New York → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Loriann Asaro, P.A.New York, NY 100211730104100
- Michael Demarest, PANew York, NY 100211841248747
- Joseph Fable, PANew York, NY 100211003861550
- Larry Friedman, PANew York, NY 100211902854821
- Inna Guindine, PANew York, NY 100211306937776
- Rebecca Johnson, P.A.C.New York, NY 100211336158831
- Lynn Keppel, PANew York City, NY 100211770554206
- Karleen Koenig, PANew York, NY 100211205884293
Common questions
What is Shannon Kelly, PA-C's NPI number?
Shannon Kelly, PA-C's National Provider Identifier (NPI) is 1508306309, issued on Feb 28, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Kelly, PA-C located?
The NPPES record lists a practice address at 159 E 74TH St, New York, NY, 10021. Phone: (516) 732-1675. Providers update this record themselves, so call before visiting.
How can I verify Shannon Kelly, PA-C's license?
NPPES lists New York license number 0205481, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.