MS. MARYELLEN KATHRYN SHANNON MD
NPI 1033227483
Obstetrics & Gynecology in Irvine, CA
About Ms. Maryellen Kathryn Shannon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARYELLEN KATHRYN SHANNON MD (NPI 1033227483) is an individual obstetrics & gynecology provider in Irvine, California, licensed in Arizona (AZ19717) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Maryellen Kathryn Shannon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maryellen Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Irvine, CA 92618
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRVINE, CA 92618
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maryellen Shannon's NPI number?
The NPI number for Maryellen Shannon is 1033227483. It was assigned to this individual provider in the NPPES registry on August 27, 2006.
Where is Maryellen Shannon located?
Maryellen Shannon practices at 6 Hughes Ste 100, Irvine, CA 92618. The listed phone number is (949) 680-1880.
What is Maryellen Shannon's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Maryellen Shannon enrolled in Medicare?
Yes. Maryellen Shannon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maryellen Shannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryellen Shannon reassigns Medicare benefits to South Coast Medical Center For New Medicine,.Inc (Irvine, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryellen Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maryellen Shannon was last updated on January 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.