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

MS. Shannon R Russom, NP

Individual provider Family Nurse Practitioner · NPI 1013948850

MS. Shannon R Russom, NP is a Nurse Practitioner in Williston, Vermont. Qualified in 1999, 27 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
27
Licensed in
VT
In the registry since
2006
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

353 Blair Park Rd
Williston, VT 05495-7530
Phone: (802) 847-1600
Fax: (802) 847-7184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1010017858 (VT)

Record details

NPI number1013948850
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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