SHANNON MICHELLE SLOCUM N.P. - NPI 1346526951 - Nurse Practitioner in Irvine, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Shannon Michelle Slocum N.p. NPPES

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

SHANNON MICHELLE SLOCUM N.P. (NPI 1346526951) is an individual family provider in Irvine, California, licensed in California (21355) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Placentia.

NPPES Registry Identity

NPI1346526951

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON MICHELLE SLOCUMCredential: N.P.

Location Address630 ROOSEVELTIrvine, CA 92620-3621

Mailing Address27202 Vinca CtMurrieta, CA 92562-8003 · (909) 747-5118

Phone(949) 390-7308

Sole ProprietorYes

Enumeration DateOctober 26, 2011

Last NPPES UpdateOctober 5, 2022

NPPES CertifiedOctober 5, 2022

✔ NPI 1346526951 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 · 21355

630 ROOSEVELT, Irvine, CA 92620

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Secondary Practice Location 1

Location 11325 N Rose Dr, #102Placentia, CA 92870-3840 · Phone (562) 862-3684 · Fax (562) 741-4479

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Michelle Slocum N.p. 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 92620 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.

Other Providers at the Same Location NPPES 5

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

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