SHANNON WIRTH FNP
NPI 1447522529
Nurse Practitioner - Family in Oakland, CA
About Shannon Wirth Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON WIRTH FNP (NPI 1447522529) is an individual family provider in Oakland, California, licensed in California (21560) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Wirth Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAKLAND, CA 94601
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 Wirth's NPI number?
The NPI number for Shannon Wirth is 1447522529. It was assigned to this individual provider in the NPPES registry on February 3, 2012.
Where is Shannon Wirth located?
Shannon Wirth practices at 2950 International Blvd, Oakland, CA 94601. The listed phone number is (510) 535-4400.
What is Shannon Wirth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Wirth enrolled in Medicare?
Yes. Shannon Wirth is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shannon Wirth was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Shannon Wirth, FNP · NPI 1447522529
Family physician in Oakland, California. Individual provider, active in the CMS NPPES registry since February 3, 2012.
## Identity
- **NPI:** 1447522529 (Entity type: Individual)
- **Enumerated:** February 3, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 21560 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2950 INTERNATIONAL BLVD, Oakland, CA 94601-2228
- **Phone:** (510) 535-4400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 3, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1447522529) · Data from the CMS NPPES public registry.