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

Shannon Marlene Denisoff, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1629787916

Shannon Marlene Denisoff, AGPCNP-BC is a Nurse Practitioner in Glens Falls, New York. Qualified in 2022, 4 years ago. Practices with Hudson Headwaters Health Network, a 218-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022

Practice location Address checks out

100 Broad St
Glens Falls, NY 12801-4349
Phone: (518) 792-2223
Fax: (518) 792-8231
Show map & directions

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

Additional practice locations (1)

  • 3767 Main St, Warrensburg, NY 12885-1890 — (518) 623-2844

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 311144 (NY)

Record details

NPI number1629787916
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedNovember 16, 2022
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Hudson Headwaters Health Network — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glens Falls