Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366006033 Individual Practitioner Female Practitioner

Shannon Ashley Peelman , PA-C

Physician Assistant • Fulton, NY

Professional Overview & Biography Verified Profile Summary

Shannon Peelman, PA-C is a registered healthcare professional specializing in Physician Assistant in Fulton, NY. Practice services are available at 510 S 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

510 S 4th St

Fulton, NY 130692951

Telephone 3155984790
Fax 3155936195
Associated Practice Facility / Clinic
🏢 Oswego Health Home Care Llc.. Facility NPI 1285639625

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fulton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Fulton, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 024053

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

61 Delano St

Pulaski, NY 131421400

Phone: 3152986564

10 Carlton Dr

Parish, NY 131313308

Phone: 3156254388

120 E 1st St

Oswego, NY 131262111

Phone: 3153420880

7 Bridge St

Phoenix, NY 131351906

Phone: 3156954700

5856 Scenic Ave

Mexico, NY 131143012

Phone: 3159634133

3045 East Ave Ste G400

Central Square, NY 130362611

Phone: 3156759200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Travis Cowart , LMHC

Counselor - Mental Health

NPI 1104760271

Licensed Mental Health Counselor

Dr. Anne Filipski , MD

Family Medicine

NPI 1164854865

Doctor of Medicine (M.D.)

Terry Salmonsen , NP

Nurse Practitioner - Family

NPI 1194988758

Nurse Practitioner

Ashley Monroe , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1255036463

Psychiatric-Mental Health Nurse Practitioner

Anthony Bryant , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1255173837

Psychiatric-Mental Health Nurse Practitioner

NPI 1295227924

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location March 11, 2025

Registered at 510 S 4TH ST, FULTON, NY 130692951 (Tel: 3155984790)

📍
Updated Business Mailing Address March 11, 2025

Registered at 61 DELANO ST, PULASKI, NY 131421400 (Tel: 3152986564)

📍
Updated Practice Location September 17, 2022

Registered at 283 W 2ND ST # 200, OSWEGO, NY 131263878 (Tel: 3153424489)

📍
Updated Business Mailing Address September 17, 2022

Registered at 283 W 2ND ST STE 200, OSWEGO, NY 131263878

👤
Provider Name / Credentials Updated September 17, 2022

Recorded as SHANNON PEELMAN, PA-C

📍
Updated Practice Location March 23, 2020

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7185792500)

📍
Updated Business Mailing Address March 23, 2020

Registered at MONTEFIORE DIVISION OF GENERAL INTERNAL MEDICINE, 3300 KOSSUTH AVENUE, BRONX, NY 10467

👤
Provider Name / Credentials Updated March 23, 2020

Recorded as SHANNON MORRISSEY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2020

Physician Assistant (License #024053 in NY)

NPI Profile Active April 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2019

Registered at 403 KINGS PARK DRIVE EXT APT A, LIVERPOOL, NY 130902787 (Tel: 8455210985)

📍
Updated Business Mailing Address April 27, 2019

Registered at 403 KINGS PARK DRIVE EXT APT A, LIVERPOOL, NY 130902787

👤
Provider Name / Credentials Updated April 27, 2019

Recorded as SHANNON MORRISSEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 27, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366006033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2019
Last Update: March 11, 2025
Sole Proprietor: No

Mailing Address

61 Delano St

Pulaski, NY 131421400

Phone: 3152986564

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.