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ENAS SHAMMO FNP
NPI 1174086870
Nurse Practitioner - Family in San Diego, CA

Active since April 09, 2019PECOS Enrolled
6280 JACKSON DR STE 9, SAN DIEGO, CA 92119(619) 303-3642 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2022, Nov 10, 2020, Jan 17, 2020 and 2 more (5 updates tracked since 2019).

About Enas Shammo Fnp NPPES

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

ENAS SHAMMO FNP (NPI 1174086870) is an individual family provider in San Diego, California, licensed in California (95018796) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174086870
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameENAS SHAMMOCredential: FNP
Location Address6280 JACKSON DR STE 9San Diego, CA 92119-3436
Mailing Address6280 Jackson Dr Ste 9San Diego, CA 92119-3436 · (619) 303-3642
Phone(619) 303-3642
Sole ProprietorNo
Enumeration DateApril 9, 2019
Last NPPES UpdateJuly 31, 20255 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
✔ NPI 1174086870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95018796
6280 JACKSON DR STE 9, San Diego, CA 92119
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11625 E Main St Ste 100El Cajon, CA 92021-5240 · Phone (619) 404-5333
Location 26280 Jackson Dr Ste 9San Diego, CA 92119-3436 · Phone (619) 303-3642

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Enas Shammo Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92119 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 2

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

JEFFREY TOMOYA COLLINS
Nurse Practitioner (Family)
6280 JACKSON DR STE 9
SAN DIEGO, CA 92119
San Diego County (619) 303-3642
GHADA HATIM SALOHA NP
Nurse Practitioner (Primary Care)
6280 JACKSON DR STE 9
SAN DIEGO, CA 92119
San Diego County (619) 303-3642

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 Enas Shammo's NPI number?

The NPI number for Enas Shammo is 1174086870. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Enas Shammo located?

Enas Shammo practices at 6280 Jackson Dr Ste 9, San Diego, CA 92119. The listed phone number is (619) 303-3642.

What is Enas Shammo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Enas Shammo enrolled in Medicare?

Yes. Enas Shammo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Enas Shammo was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.