DELIA R SHANAHAN NP
NPI 1306373832
Nurse Practitioner - Family in Redlands, CA

Active since May 15, 2017PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
25828 REDLANDS BLVD STE 102, REDLANDS, CA 92373(909) 558-6600 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2023, Nov 22, 2021, Mar 29, 2021 and 2 more (5 updates tracked since 2017).

About Delia R Shanahan Np NPPES

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

DELIA R SHANAHAN NP (NPI 1306373832) is an individual family provider in Redlands, California, licensed in California (95023361) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1306373832
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDELIA R SHANAHANCredential: NP
Location Address25828 REDLANDS BLVD STE 102Redlands, CA 92373-8451
Mailing AddressFile # 54701Los Angeles, CA 90074-4701 · (909) 651-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 15, 2017
Last NPPES UpdateJanuary 19, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
NPI 1306373832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 95023361 Licensed in NH · 078207-23
Also ListedNurse PractitionerTaxonomy 363L00000X · License 10117 (WI)
25828 REDLANDS BLVD STE 102, Redlands, CA 92373

Secondary Practice Locations 2

Location 16609 W Greenfield AveWest Allis, WI 53214-4958 · Phone (414) 257-8577 · Fax (414) 257-8505
Location 218 Old Etna RoadLebanon, NH 03766 · Phone (603) 650-4000

Other Identifiers 3

Medicaid100149140WI
Medicaid1033706VT
Medicaid3113951NH

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

Delia R Shanahan Np 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 ID840568325
PECOS Enrollment IDI20230104002635
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92373 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
25828 REDLANDS BLVD STE 102
REDLANDS, CA 92373
Family Medicine
25828 REDLANDS BLVD STE 102
REDLANDS, CA 92373
Family Medicine
25828 REDLANDS BLVD STE 102
REDLANDS, CA 92373
Family Medicine
25828 REDLANDS BLVD STE 102
REDLANDS, CA 92373
Family Medicine
25828 REDLANDS BLVD STE 102
REDLANDS, CA 92373
Physician Assistant
25828 REDLANDS BLVD STE 102
REDLANDS, CA 92373
Clinical Neuropsychologist
25828 REDLANDS BLVD STE 102
REDLANDS, CA 92373
Family Medicine
25828 REDLANDS BLVD STE 102
REDLANDS, CA 92373

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 Delia Shanahan's NPI number?

The NPI number for Delia Shanahan is 1306373832. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Delia Shanahan located?

Delia Shanahan practices at 25828 Redlands Blvd Ste 102, Redlands, CA 92373. The listed phone number is (909) 558-6600.

What is Delia Shanahan's specialty?

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

Is Delia Shanahan enrolled in Medicare?

Yes. Delia Shanahan 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 Delia Shanahan was last updated on January 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.