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

MS. Shannon L. Church, PA

Individual provider Surgical Physician Assistant · NPI 1164750105

MS. Shannon L. Church, PA is a Physician Assistant in Springfield, Massachusetts. Qualified in 2009, 17 years ago. Practices with Riverbend Medical Group Inc, a 224-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
17
Licensed in
MA
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

271 Carew St
Springfield, MA 01104-2377
Phone: (413) 748-9349
Fax: (413) 452-6080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA3911 (MA)

Record details

NPI number1164750105
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 3, 2009
Last updated in NPPESMay 18, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Riverbend Medical Group Inc — 224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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