ENAS SHAMMO FNP
NPI 1174086870
Nurse Practitioner - Family in San Diego, CA
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
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Enas Shammo Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Enas Shammo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Redford, MI 48239
- Reassigned Medicare billing, Michigan enrollment
- 102 clinicians in this Medicare group
Rochester Hills, MI 48309
- Reassigned Medicare billing, Michigan enrollment
- 91 clinicians in this Medicare group
Troy, MI 48085
- Reassigned Medicare billing, Michigan enrollment
- 90 clinicians in this Medicare group
Clinton Township, MI 48036
- Reassigned Medicare billing, Michigan enrollment
- 91 clinicians in this Medicare group
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 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.
Other Providers at the Same Location NPPES 3
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 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.
Which organizations bill Medicare for Enas Shammo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Enas Shammo reassigns Medicare benefits to 4 organizations: Best Urgent Care PC (Redford, MI), Rochester Urgent Care Walk-In Clinic (Rochester Hills, MI), Troy Urgent Care Walk-In Clinic (Troy, MI) and Clinton Urgent Care Walk-In Clinic (Clinton Township, MI). 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 Enas Shammo'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 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 14 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.
# Enas Shammo, FNP · NPI 1174086870
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since April 9, 2019.
## Identity
- **NPI:** 1174086870 (Entity type: Individual)
- **Enumerated:** April 9, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95018796 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6280 JACKSON DR STE 9, San Diego, CA 92119-3436
- **Phone:** (619) 303-3642
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Best Urgent Care PC (NPI 1952791105, Redford, MI); Rochester Urgent Care Walk-In Clinic (NPI 1225554694, Rochester Hills, MI); Troy Urgent Care Walk-In Clinic (NPI 1720571227, Troy, MI); Clinton Urgent Care Walk-In Clinic (NPI 1831610070, Clinton Township, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174086870) · Data from the CMS NPPES public registry.