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

Shannon Nicole O'Brien, PA

Individual provider Physician Assistant · NPI 1053744425

Shannon Nicole O'Brien, PA is a Physician Assistant in Meadville, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Novacare Outpatient Rehabilitation East, Inc, a 510-clinician group and accepts Medicare assignment. Licensed in Illinois and Pennsylvania.

Years since qualifying
13
Licensed in
IL, PA
In the registry since
2013
Specialties on file
3
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

640 Alden St
Meadville, PA 16335-2348
Phone: (814) 373-5255
Fax: (814) 373-5259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA058204 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA003787 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085004752 (IL)

Record details

NPI number1053744425
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 20, 2013
Last updated in NPPESApril 9, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Novacare Outpatient Rehabilitation East, Inc. — 510 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Meadville