SHANNON MARIE MALOUF PA-C
NPI 1063857977
Physician Assistant in Fairfield, CA

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
2201 COURAGE DR, FAIRFIELD, CA 94533(707) 784-2001(707) 784-1494 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Marie Malouf Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MARIE MALOUF PA-C (NPI 1063857977) is an individual physician assistant in Fairfield, California, licensed in California (PA22896) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1063857977
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON MARIE MALOUFCredential: PA-C
Location Address2201 COURAGE DRFairfield, CA 94533-6733
Mailing Address2201 Courage DrFairfield, CA 94533-6733 · (707) 784-2001 · Fax (707) 784-1494
Fax(707) 784-1494
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 6, 2013
Last NPPES UpdateJanuary 11, 2022
NPI 1063857977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA22896
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2201 COURAGE DR, Fairfield, CA 94533

Other Names 1

Other Name (5)Shannon Marie Swanberg

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Marie Malouf Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961644026
PECOS Enrollment IDI20180522003053
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94533 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2201 COURAGE DR
FAIRFIELD, CA 94533
Family Medicine
2201 COURAGE DR
FAIRFIELD, CA 94533
Internal Medicine
2201 COURAGE DR
FAIRFIELD, CA 94533
Physician Assistant
2201 COURAGE DR
FAIRFIELD, CA 94533
Pediatrics
2201 COURAGE DR
FAIRFIELD, CA 94533
Neuromusculoskeletal Medicine & OMM
2201 COURAGE DR
FAIRFIELD, CA 94533
Counselor
2201 COURAGE DR
FAIRFIELD, CA 94533
Clinic/Center (Federally Qualified Health Center (FQHC))
2201 COURAGE DR
FAIRFIELD, CA 94533

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 Shannon Malouf's NPI number?

The NPI number for Shannon Malouf is 1063857977. It was assigned to this individual provider in the NPPES registry on May 6, 2013. The provider is also known as Shannon Marie Swanberg.

Where is Shannon Malouf located?

Shannon Malouf practices at 2201 Courage Dr, Fairfield, CA 94533. The listed phone number is (707) 784-2001.

What is Shannon Malouf's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Malouf enrolled in Medicare?

Yes. Shannon Malouf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Malouf was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.