SHANNON HEUKLOM MSN, MPH, AGPCNP-BC
NPI 1144686312
Nurse Practitioner - Psychiatric/Mental Health in San Francisco, CA

Active since January 04, 2016PECOS EnrolledAccepts Medicare Assignment
1930 MARKET ST, SAN FRANCISCO, CA 94102(415) 476-3902 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2026, Mar 30, 2026, Jan 3, 2017 (3 updates tracked since 2017).

About Shannon Heuklom Msn, Mph, Agpcnp-bc NPPES

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

SHANNON HEUKLOM MSN, MPH, AGPCNP-BC (NPI 1144686312) is an individual psychiatric/mental health provider in San Francisco, California, licensed in California (95003581) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2015).

NPPES Registry Identity

NPI1144686312
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANNON HEUKLOMCredential: MSN, MPH, AGPCNP-BC
Location Address1930 MARKET STSan Francisco, CA 94102-6228
Mailing Address1930 Market StSan Francisco, CA 94102-6228
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2015
Enumeration DateJanuary 4, 2016
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
NPI 1144686312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95003581
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95003581 (CA)
1930 MARKET ST, San Francisco, CA 94102

Other Names 1

Former Name (1)Shannon Staples

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 Heuklom Msn, Mph, Agpcnp-bc 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 ID6901151034
PECOS Enrollment IDI20180613003170
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 94102 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 20

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

Student in an Organized Health Care Education/Training Program
1930 MARKET ST
SAN FRANCISCO, CA 94102
Student in an Organized Health Care Education/Training Program
1930 MARKET ST
SAN FRANCISCO, CA 94102
Counselor (Mental Health)
1930 MARKET ST
SAN FRANCISCO, CA 94102
Social Worker
1930 MARKET ST
SAN FRANCISCO, CA 94102
Counselor
1930 MARKET ST
SAN FRANCISCO, CA 94102
Community/Behavioral Health
1930 MARKET ST
SAN FRANCISCO, CA 94102
Psychologist (Clinical)
1930 MARKET ST
SAN FRANCISCO, CA 94102
Social Worker (Clinical)
1930 MARKET ST
SAN FRANCISCO, CA 94102

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 Heuklom's NPI number?

The NPI number for Shannon Heuklom is 1144686312. It was assigned to this individual provider in the NPPES registry on January 4, 2016. The provider is also known as Shannon Staples.

Where is Shannon Heuklom located?

Shannon Heuklom practices at 1930 Market St, San Francisco, CA 94102. The listed phone number is (415) 476-3902.

What is Shannon Heuklom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shannon Heuklom enrolled in Medicare?

Yes. Shannon Heuklom 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 Heuklom was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.