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

Shannon Grace Tisson, PA-C

Individual provider Physician Assistant · NPI 1831557875

Shannon Grace Tisson, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2015, 11 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Colorado, New York and Tennessee.

Years since qualifying
11
Licensed in
CO, NY, TN
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2222 N Nevada Ave Ste 4007
Colorado Springs, CO 80907
Phone: (719) 776-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 100 Port Washington Blvd, Roslyn, NY 11576-1347 — (516) 562-6000
  • 1211 Medical Center Dr, Nashville, TN 37232 — (615) 322-5000
  • 1211 Medical Center Dr, Nashville, TN 37232 — (615) 322-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5770 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 3496 (TN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 23019471 (NY)

Record details

NPI number1831557875
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 5, 2016
Last updated in NPPESDecember 17, 2023
Certification dateDecember 17, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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