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

SHANNON BAGNASCO
NPI 1235554510
Nurse Practitioner - Family in Menifee, CA

Active since February 24, 2014PECOS Enrolled
26926 CHERRY HILLS BLVD, SUITE B, MENIFEE, CA 92586(951) 216-2200 Get Directions Write a Review

NPPES record last updated: February 24, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Bagnasco NPPES

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

SHANNON BAGNASCO (NPI 1235554510) is an individual family provider in Menifee, California, licensed in California (95000377) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235554510
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON BAGNASCO
Location Address26926 CHERRY HILLS BLVD, SUITE BMenifee, CA 92586-2500
Mailing Address425 N Date StEscondido, CA 92025-3413 · (760) 737-6960
Phone(951) 216-2200
Sole ProprietorNo
Enumeration DateFebruary 24, 2014
✔ NPI 1235554510 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 · 95000377
26926 CHERRY HILLS BLVD, Menifee, CA 92586
Open in Google Maps ↗

Other Identifiers 1

Medicare OSCAR/certificationZZZ20041ZCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Bagnasco 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 Bagnasco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elizabeth Supportive Medical Specialists, A Medical Corporation
41 mi
Hospice and Palliative Medicine
800 W VALLEY PKWY STE 203
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1154861979 (760) 796-3763

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
65 services23 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
20 services20 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
20 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92586 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

CHRISTOPHER TAYLOR FNP
Nurse Practitioner (Family)
26926 CHERRY HILLS BLVD
MENIFEE, CA 92586
Riverside County (951) 216-2200
A PLUS WALK-IN URGENT CARE MEDICAL CLINIC, APC
Clinic/Center (Urgent Care)
26926 CHERRY HILLS BLVD, SUITE A
MENIFEE, CA 92586
Riverside County (951) 696-7587

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 Bagnasco's NPI number?

The NPI number for Shannon Bagnasco is 1235554510. It was assigned to this individual provider in the NPPES registry on February 24, 2014.

Where is Shannon Bagnasco located?

Shannon Bagnasco practices at 26926 Cherry Hills Blvd Suite B, Menifee, CA 92586. The listed phone number is (951) 216-2200.

What is Shannon Bagnasco's specialty?

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

Is Shannon Bagnasco enrolled in Medicare?

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

Which organization bills Medicare for Shannon Bagnasco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Bagnasco reassigns Medicare benefits to Elizabeth Supportive Medical Specialists, A Medical Corporation (Escondido, 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 Bagnasco'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 Bagnasco was last updated on February 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.