ATHERINE DANICE SHACKELFORD LVN,RN
NPI 1245732858
Nurse Practitioner - Family in Whittier, CA

Active since February 28, 2018PECOS EnrolledAccepts Medicare Assignment
12401 WASHINGTON BLVD, WHITTIER CA 90602, WHITTIER, CA 90602(562) 698-0811 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Atherine Danice Shackelford Lvn,rn NPPES

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

ATHERINE DANICE SHACKELFORD LVN,RN (NPI 1245732858) is an individual family provider in Whittier, California, licensed in California (95034518) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245732858
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameATHERINE DANICE SHACKELFORDCredential: LVN,RN
Location Address12401 WASHINGTON BLVD, WHITTIER CA 90602Whittier, CA 90602
Mailing Address909 Pico BlvdSanta Monica, CA 90405-1326 · (310) 314-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 28, 2018
Last NPPES UpdateJanuary 2, 2026
NPPES CertifiedJanuary 2, 2026
NPI 1245732858 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 · 95034518
12401 WASHINGTON BLVD, WHITTIER CA 90602, Whittier, CA 90602

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Atherine Danice Shackelford Lvn,rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749790301
PECOS Enrollment IDI20250611003559
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 90602 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245732858, enumerated as an "individual" on February 28, 2018.

The provider is located at 12401 WASHINGTON BLVD, WHITTIER CA 90602 WHITTIER, CA 90602 and the phone number is (562) 698-0811.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.