Ms. Shannon R Russom

N.P. | Nurse Practitioner - Family | 26+ years Exp

353 Blair Park Rd, Williston
  Vermont, 05495-7530
802-847-1600
Accepts Medicare Nurse Anesthetist in Williston, Vermont.
Ms. Shannon R Russom is a Williston, Vermont based nurse practitioner with 26 years of experience in Family. She completed her graduation in 1999. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Shannon R Russom is 1010017858 for Family in Vermont. Her current practice location is 353 Blair Park Rd, Williston. Patients can reach her at 802-847-1600 or can fax her at 802-847-7184. Ms. Shannon R Russom is N.P. with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1013948850.
Ms. Shannon R Russom delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Ms. Shannon R Russom speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ms. Shannon R Russom
Specialization: Family Nurse Practitioner (FNP)
Gender:Female
Credentials: N.P.
Experience: 26+ years
Medical School Attended:Other
Graduation Year:1999
Accepts Medicare Assignment:Yes
Practice Address:353 Blair Park Rd, Williston,
Vermont, 05495-7530
Phone:802-847-1600
Fax:802-847-7184
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 8022054568
Enrollment ID: I20050706000527
NPI Number: 1013948850
NPI Enumeration Date: 06 Jul, 2006
NPI Last Update On: 08 Jul, 2007

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Shannon R Russom are as mentioned below.
License NumberSpecializationStateStatus
1010017858Family VermontPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(470003)Burlington, VTAcute Care Hospital
(330250)Plattsburgh, NYAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Ms. Shannon R Russom is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
University Of Vermont Medical Center Inc (3779491071)909
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Shannon R Russom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1008958MedicaidVermont
150268OtherVermontMVP
58796OtherVermontBLUE SHIELD
6309101OtherVermontAPEX
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ms. Shannon R Russom
87 Carse Rd,
Huntington, Vermont
Zip: 05462-9550
Phone Number: 802-434-4195
Patients can reach Ms. Shannon R Russom at 353 Blair Park Rd, Williston, Vermont or can call to book an appointment on 802-847-1600.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.