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SHANNON DWYER
NPI 1285179895
Nurse Practitioner - Psychiatric/Mental Health in Palo Alto, CA

Active since January 05, 2017PECOS EnrolledAccepts Medicare Assignment
115 EVERETT AVE, PALO ALTO, CA 94301(650) 690-2757 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Dwyer NPPES

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

SHANNON DWYER (NPI 1285179895) is an individual psychiatric/mental health provider in Palo Alto, California, licensed in California (95005786) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285179895
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANNON DWYER
Location Address115 EVERETT AVEPalo Alto, CA 94301-1031
Mailing Address115 Everett AvePalo Alto, CA 94301-1031 · (650) 690-2757
Phone(650) 690-2757
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 5, 2017
✔ NPI 1285179895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95005786
115 EVERETT AVE, Palo Alto, CA 94301
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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 and accepts Medicare assignment

Shannon Dwyer 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 ID42720161
PECOS Enrollment IDI20250609001077
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 94301 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Dwyer's NPI number?

The NPI number for Shannon Dwyer is 1285179895. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Where is Shannon Dwyer located?

Shannon Dwyer practices at 115 Everett Ave, Palo Alto, CA 94301. The listed phone number is (650) 690-2757.

What is Shannon Dwyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shannon Dwyer enrolled in Medicare?

Yes. Shannon Dwyer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Dwyer was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.