SUZAN SHAKHSHIR FNP
NPI 1275875759
Nurse Practitioner - Family in Bloomington, CA

Q: What is Suzan Shakhshir's NPI number?

The NPI number for Suzan Shakhshir is 1275875759. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Q: What is Suzan Shakhshir's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Suzan Shakhshir was last updated on June 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2013PECOS Enrolled

18601 VALLEY BLVD, BLOOMINGTON, CA 92316(909) 546-7520(909) 877-5468 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Suzan Shakhshir Fnp NPPES

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

SUZAN SHAKHSHIR FNP (NPI 1275875759) is an individual family provider in Bloomington, California, licensed in California (22818) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275875759

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUZAN SHAKHSHIRCredential: FNP

Location Address18601 VALLEY BLVDBloomington, CA 92316-1831

Mailing Address1450 E Holt AvePomona, CA 91767-5822 · (909) 630-7927

Phone(909) 546-7520

Fax(909) 877-5468

Sole ProprietorNo

Enumeration DateMarch 21, 2013

Last NPPES UpdateJune 5, 2015

✔ NPI 1275875759 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 · 22818

18601 VALLEY BLVD, Bloomington, CA 92316

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzan Shakhshir Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92316 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.

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