Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather M Shannon, NP

Individual provider Women's Health Nurse Practitioner · NPI 1790775005

Heather M Shannon, NP is a Certified Nurse Midwife (CNM) in Fulton, New York. Qualified in 1997, 29 years ago. Practices with Oswego County Opportunities, Inc, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

522 S 4th St Ste 500
Fulton, NY 13069
Phone: (315) 598-4740
Fax: (315) 598-4728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 00420826 (NY)
Advanced Practice Midwife Taxonomy 367A00000X · Licence F000678-1 (NY)

Record details

NPI number1790775005
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 27, 2005
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address239 Oneida St, Fulton, NY 13069-1228

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Oswego County Opportunities, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services