Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174810808 Individual Practitioner Female Practitioner

Shannon T Evellis , PA-C

Physician Assistant • Queensbury, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Evellis, PA-C is a certified Physician Assistant practicing in Queensbury, NY. With approximately 15 years of clinical experience since graduating from Albany Medical College Of Union University in 2011, Shannon Evellis delivers high-quality medical care to the local community at 161 CAREY RD.

Shannon Evellis is affiliated with Hudson Headwaters Health Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with tracing, blood count, hemoglobin, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

161 Carey Rd

Queensbury, NY 128047821

Telephone 5188248610
Fax 5188242390
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Queensbury, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -0.3 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Queensbury, NY (15701 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Evellis (15 Years) 15 Yrs
Queensbury Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
20 20 $15.00 $5.85
85018 Blood count, hemoglobin
16 16 $6.00 $2.32
81003 Automated urinalysis test
13 12 $6.00 $2.20
83036 Hemoglobin A1C level
12 11 $24.00 $9.52

Medical Specialties & State Licenses

CMS Verified: 2025-05-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 014844

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03415487 (NY)

Hospital & Practice Group Affiliations

Hudson Headwaters Health Network

24 Fairfield Ave, Schroon Lake, NY 128700292

Phone: 5185327120

Hudson Headwaters Health Network

100 Broad St, Glens Falls, NY 128014349

Phone: 5187922223

Hudson Headwaters Health Network

161 Carey Rd, Queensbury, NY 128047821

Phone: 5188248610

Secondary Practice Locations

3767 Main St

Warrensburg, NY 128851890

Phone: 5186232844

100 Broad St

Glens Falls, NY 128014349

Phone: 5187922223

Practice Associates & Co-Workers

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

40 Associated Practitioners
Lynn Keil , PA-C

Physician Assistant

NPI 1003822172

Physician Assistant (Certified)

Karen Marden , LCSW-R

Social Worker - Clinical

NPI 1023381936

Licensed Clinical Social Worker - Registered

Jenny Mack , AGNP

Nurse Practitioner - Adult Health

NPI 1033864152

Adult-Gerontology Nurse Practitioner

Judy Podziewski , FNP-BC

Nurse Practitioner - Family

NPI 1043573058

Family Nurse Practitioner (Board Certified)

Dr. Kristy Farmer , DO

Family Medicine

NPI 1043897952

Doctor of Osteopathic Medicine (D.O.)

Cheryl Marino , FNP

Nurse Practitioner - Family

NPI 1063416428

Family Nurse Practitioner

Career & Practice History Timeline

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

13 Historical Events
👤
Provider Name / Credentials Updated May 23, 2025

Recorded as SHANNON EVELLIS, PA-C

📍
Updated Practice Location December 07, 2022

Registered at 161 CAREY RD, QUEENSBURY, NY 128047821 (Tel: 5188248610)

NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2017

Registered at 6223 STATE ROUTE 9, CHESTERTOWN, NY 128170747 (Tel: 5184942761)

📍
Updated Business Mailing Address February 10, 2017

Registered at 9 CAREY RD, QUEENSBURY, NY 128047880 (Tel: 5187610300)

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as SHANNON EVELLIS, RPA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Physician Assistant (License #014844 in NY)

NPI Profile Active January 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2016

Registered at 6223 STATE ROUTE 9, CHESTERTOWN, NY 128172823 (Tel: 5184942761)

📍
Updated Business Mailing Address January 18, 2016

Registered at 9 CAREY RD, QUEENSBURY, NY 128047880 (Tel: 5187610300)

👤
Provider Name / Credentials Updated January 18, 2016

Recorded as SHANNON EVELLIS, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2016

Physician Assistant (License #014844 in NY)

🟢
Initial NPI Registration & Enumeration July 01, 2011

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: 1174810808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2011
Last Update: May 23, 2025
Sole Proprietor: No

Mailing Address

9 Carey Rd

Queensbury, NY 128047880

Phone: 5187610300

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.