ROBERT SHANNON FNP
NPI 1164879839
Nurse Practitioner - Family in Wasco, CA
About Robert Shannon Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT SHANNON FNP (NPI 1164879839) is an individual family provider in Wasco, California, licensed in California (95035529) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Robert Shannon Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93280 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Robert Shannon's NPI number?
The NPI number for Robert Shannon is 1164879839. It was assigned to this individual provider in the NPPES registry on May 23, 2016.
Where is Robert Shannon located?
Robert Shannon practices at 2101 7th St, Wasco, CA 93280. The listed phone number is (661) 758-2263.
What is Robert Shannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Robert Shannon enrolled in Medicare?
Yes. Robert Shannon 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 Robert Shannon was last updated on April 8, 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.
# Robert Shannon, FNP · NPI 1164879839
Family physician in Wasco, California. Individual provider, active in the CMS NPPES registry since May 23, 2016.
## Identity
- **NPI:** 1164879839 (Entity type: Individual)
- **Enumerated:** May 23, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95035529 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2101 7TH ST, Wasco, CA 93280-1502
- **Phone:** (661) 758-2263
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164879839) · Data from the CMS NPPES public registry.