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

Mary M Shannon, CRNP

Individual provider Family Nurse Practitioner · NPI 1104816073

Mary M Shannon, CRNP is a Nurse Practitioner in Kittanning, Pennsylvania. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2005
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1 Nolte Dr
Kittanning, PA 16201-7111
Phone: (724) 543-8536
Fax: (724) 543-8743
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP007840 (PA)

Record details

NPI number1104816073
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESJuly 16, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kittanning