1. Home
  2. Directory
  3. California
  4. San Francisco
  5. Nurse Practitioner
  6. NPI Profile

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: October 18, 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
Phone(415) 476-3902
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
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon Staples

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shannon Heuklom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Asian And Pacific Islander Wellness Center, Inc.
0.1 mi
Community Health
1800 MARKET ST STE 401
San Francisco, CA 94102
  • Reassigned Medicare billing, California enrollment
  • 20 clinicians in this Medicare group
NPI 1922528694 (415) 292-3400
Healthright 360
0.5 mi
Community/Behavioral Health
1563 MISSION ST, 1ST, 3RD, AND 4TH FLOOR
San Francisco, CA 94103
  • Reassigned Medicare billing, California enrollment
  • 76 clinicians in this Medicare group
NPI 1467988691 (415) 762-3700
City & County Of San Francisco
0.5 mi
Mental Health (Including Community Mental Health Center)
1563 MISSION ST STE A
San Francisco, CA 94103
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
NPI 1548379373 (628) 217-5200

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 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.

KARINA WILLIAMS
Student in an Organized Health Care Education/Training Program
1930 MARKET ST
SAN FRANCISCO, CA 94102
San Francisco County (415) 476-3902
YIYANG JOY DING
Student in an Organized Health Care Education/Training Program
1930 MARKET ST
SAN FRANCISCO, CA 94102
San Francisco County (415) 476-9916
KELLEY BUSJAEGER
Counselor (Mental Health)
1930 MARKET ST
SAN FRANCISCO, CA 94102
San Francisco County (415) 476-3902
SYDNOR PETERSON
Social Worker
1930 MARKET ST
SAN FRANCISCO, CA 94102
San Francisco County (323) 388-3459
HESHIMA HARDY
Counselor
1930 MARKET ST
SAN FRANCISCO, CA 94102
San Francisco County (415) 476-3902
UCSF SFGH CLINICAL PRACTICE GROUP
Community/Behavioral Health
1930 MARKET ST
SAN FRANCISCO, CA 94102
San Francisco County (415) 476-3598
ERICA MONTANEZ
Psychologist (Clinical)
1930 MARKET ST
SAN FRANCISCO, CA 94102
San Francisco County (415) 476-3902
MICHAEL LAM NGUYEN
Social Worker (Clinical)
1930 MARKET ST
SAN FRANCISCO, CA 94102
San Francisco County (415) 476-3902

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.

Which organizations bill Medicare for Shannon Heuklom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Heuklom reassigns Medicare benefits to 3 organizations: Asian And Pacific Islander Wellness Center, Inc. (San Francisco, CA), Healthright 360 (San Francisco, CA) and City & County Of San Francisco (San Francisco, CA). Each 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 Shannon Heuklom'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 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 6 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.