SHANNON TAM NP
NPI 1235619685
Nurse Practitioner - Psychiatric/Mental Health in Sacramento, CA
About Shannon Tam Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON TAM NP (NPI 1235619685) is an individual psychiatric/mental health provider in Sacramento, California, licensed in California (95021932) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Tam Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Shannon Tam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The Univ Of Ca
- 2,570 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95817 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95817
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 Tam's NPI number?
The NPI number for Shannon Tam is 1235619685. It was assigned to this individual provider in the NPPES registry on August 15, 2018.
Where is Shannon Tam located?
Shannon Tam practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-7595.
What is Shannon Tam's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shannon Tam enrolled in Medicare?
Yes. Shannon Tam is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shannon Tam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Tam reassigns Medicare benefits to 3 organizations: Regents Of The University Of Ca (Sacramento, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Shannon Tam'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 Tam was last updated on August 31, 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.
# Shannon Tam, NP · NPI 1235619685
Psychiatric/Mental Health physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since August 15, 2018.
## Identity
- **NPI:** 1235619685 (Entity type: Individual)
- **Enumerated:** August 15, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95021932 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2315 STOCKTON BLVD, Sacramento, CA 95817-2201
- **Phone:** (916) 734-7595
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of Ca (NPI 1063405074, Sacramento, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1235619685) · Data from the CMS NPPES public registry.