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DR. SHANNON MARIE ETTER M.D.
NPI 1184829921
Obstetrics & Gynecology in San Diego, CA

Active since June 20, 2007PECOS Enrolled
9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123(858) 266-5000 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shannon Marie Etter M.d. NPPES

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

DR. SHANNON MARIE ETTER M.D. (NPI 1184829921) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (C181763) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1184829921
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SHANNON MARIE ETTERCredential: M.D.
Location Address9455 CLAIREMONT MESA BLVDSan Diego, CA 92123-1297
Mailing Address1 Boone Rd, Naval Hospital BremertonBremerton, WA 98312-1894
Phone(858) 266-5000
Sole ProprietorNo
Enumeration DateJune 20, 2007
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1184829921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CA · C181763✔ Licensed in VA · 0101244203
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
9455 CLAIREMONT MESA BLVD, San Diego, CA 92123
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Other Names 1

Professional Name (2)Dr. Shannon Marie Capp M.d.

Secondary Practice Location 1

Location 12017 1st Ave Ste 100San Diego, CA 92101-9001 · Phone (619) 881-5094

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Marie Etter M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Etter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.2 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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 92123 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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.

KAISER FOUNDATION HOSPITALS
General Acute Care Hospital
9455 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123
San Diego County (619) 528-5000
DONNY MUNOZ RRT, RCP
Respiratory Therapist, Registered
9455 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123
San Diego County (858) 266-4209
MS. TIARA MONIQUE GAWAT RCP
Respiratory Therapist, Registered
9455 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123
San Diego County (858) 266-5000
IRENE CHIA
Pharmacist
9455 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123
San Diego County (858) 266-5000
MRS. AURIE-ANN NAANOS ANCHO
Respiratory Therapist, Certified
9455 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123
San Diego County (858) 266-4200
JESUS HERRERA
Respiratory Therapist, Registered (Critical Care)
9455 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123
San Diego County (858) 266-4200
DR. HANNAH YOUNG MD
Internal Medicine
9455 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123
San Diego County (833) 574-2273
DANIELA LARA CRT, RRT
Respiratory Therapist, Registered
9455 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123
San Diego County (858) 266-4200

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 Etter's NPI number?

The NPI number for Shannon Etter is 1184829921. It was assigned to this individual provider in the NPPES registry on June 20, 2007. The provider is also known as Dr. Shannon Marie Capp M.D..

Where is Shannon Etter located?

Shannon Etter practices at 9455 Clairemont Mesa Blvd, San Diego, CA 92123. The listed phone number is (858) 266-5000.

What is Shannon Etter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shannon Etter enrolled in Medicare?

Yes. Shannon Etter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Etter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Etter reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Etter'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 Etter was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.