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

MS. Shannon R Russom, NP

Individual provider Family Nurse Practitioner · NPI 1013948850

MS. Shannon R Russom, NP is a Nurse Practitioner in Williston, Vermont. Qualified in 1999, 27 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
27
Licensed in
VT
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

353 Blair Park Rd
Williston, VT 05495-7530 Not confirmed with CMS for 19 years — call before visiting
Phone: (802) 847-1600
Fax: (802) 847-7184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1010017858 (VT)

Record details

NPI number1013948850
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients125
Services billed 156 a service is one billed item, such as a visit, a test or a procedure
Average patient age68

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at University of Vermont Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1202 clinicians in the practice; 12 are shown here.

Other providers in Williston