Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Shannon Marie Nicosia, FNP

Individual provider Family Nurse Practitioner · NPI 1114539269

Shannon Marie Nicosia, FNP is a Family Nurse Practitioner in State College, Pennsylvania. Works from 2 locations. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

200 Scenery Dr
State College, PA 16801-7974
Phone: (570) 271-6516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 N Academy Ave, Danville, PA 17822-9764 — (570) 271-6516

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP025407 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 346354 (NY)

Record details

NPI number1114539269
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 20, 2020
Last updated in NPPESNovember 13, 2023
Certification dateNovember 9, 2023

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 patients22
Services billed 69 a service is one billed item, such as a visit, a test or a procedure
Average patient age47

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.

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