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

Shannon T Evellis, PA-C

Individual provider Physician Assistant · NPI 1174810808

Shannon T Evellis, PA-C is a Physician Assistant in Queensbury, New York. Graduated from Albany Medical College of Union University in 2011, 15 years ago. Practices with Hudson Headwaters Health Network, a 218-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

161 Carey Rd
Queensbury, NY 12804-7821
Phone: (518) 824-8610
Fax: (518) 824-2390
Show map & directions

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

Additional practice locations (2)

  • 100 Broad St, Glens Falls, NY 12801-4349 — (518) 792-2223
  • 3767 Main St, Warrensburg, NY 12885-1890 — (518) 623-2844

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 014844 (NY)

Record details

NPI number1174810808
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 1, 2011
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2011 (15 years in practice)
Group practice Hudson Headwaters Health Network — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Queensbury