MEDICARE: MRS. SHANNON SURPIN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN2335015	MA

General Provider Information

NPI Number	:	1033056866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHANNON SURPIN RN

Provider Business Mailing Address
First Line	:	PO BOX 846
Second Line	:
City	:	OAK BLUFFS
State	:	MA
Zip	:	02557-0846
Country	:	US
Telephone Number	:	732-829-0059
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 TRADEWINDS RD
Second Line	:
City	:	OAK BLUFFS
State	:	MA
Zip	:	02557-7278
Country	:	US
Telephone Number	:	732-829-0059
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

Similar Medicare Providers

1881394740 — RENATO J. AVES, LLC
Practice Location Address:

19445 SHUMARD OAK DR UNIT 101
LAND O LAKES, FL
34638-7278

Practice Phone: 813-909-2354
Practice Fax:

1780939587 — DR. ANA SOFIA RIVERO GUTIERREZ M.D
Practice Location Address:

1 HOSPITAL RD
OAK BLUFFS, MA
02557-1406

Practice Phone: 508-693-0410
Practice Fax:

1720081912 — MARTHAS VINEYARD COMMUNITY SERVICES, INC DBA VISITING NURSE SERVICE
Practice Location Address:

111 EDGARTOWN VINEYARD HAVEN ROAD
OAK BLUFFS, MA
02557

Practice Phone: 508-693-7900
Practice Fax: 508-693-6669

1073517025 — CATHERINE A CHASE C.N.M.
Practice Location Address:

ONE HOSPITAL RD
OAK BLUFFS, MA
02557-1477

Practice Phone: 508-693-0410
Practice Fax: 508-696-8474

1588660443 — VINEYARD NURSING ASSOCIATION, INC.
Practice Location Address:

1 HOSPITAL ROAD
OAK BLUFFS, MA
02557-2568

Practice Phone: 508-693-6184
Practice Fax: 508-693-5607

1053318899 — STACIE J NOBLE-SHRIVER M.D.
Practice Location Address:

ONE HOSPITAL ROAD
OAK BLUFFS, MA
02557

Practice Phone: 508-693-0410
Practice Fax:

Directions to “ MRS. SHANNON SURPIN RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.