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

Mr. Grant Shannon, NP

Individual provider Adult Health Nurse Practitioner · NPI 1881139863

Mr. Grant Shannon, NP is a Nurse Practitioner in Plattsburgh, New York. Qualified in 2016, 10 years ago. Practices with Alice Hyde Medical Center, a 84-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

206 Cornelia St Ste 105
Plattsburgh, NY 12901-2878
Phone: (518) 561-5516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F308051-1 (NY)

Record details

NPI number1881139863
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 29, 2016
Last updated in NPPESMay 11, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Alice Hyde Medical Center — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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