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SHANNON MIRI MULDER MICHAELSON MD
NPI 1467515536
Anesthesiology in Loma Linda, CA

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
11234 ANDERSON ST, RM 2532, LOMA LINDA, CA 92354(909) 558-4475 Get Directions Write a Review

NPPES record last updated: November 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Miri Mulder Michaelson Md NPPES

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

SHANNON MIRI MULDER MICHAELSON MD (NPI 1467515536) is an individual anesthesiology provider in Loma Linda, California, licensed in California (G53813) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1983).

NPPES Registry Identity

NPI1467515536
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameSHANNON MIRI MULDER MICHAELSONCredential: MD
Location Address11234 ANDERSON ST, RM 2532Loma Linda, CA 92354-2804
Mailing Address25539 Huron StLoma Linda, CA 92354-3722 · (909) 796-4996 · Fax (909) 796-4996
Phone(909) 558-4475
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1983
Enumeration DateDecember 19, 2006
Last NPPES UpdateNovember 16, 2009
✔ NPI 1467515536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · G53813
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
11234 ANDERSON ST, Loma Linda, CA 92354
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Other Names 1

Professional Name (2)Shannon Miri Mulder Md

Other Identifiers 1

Medicare UPINA52604

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 Miri Mulder Michaelson Md 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 ID5496837411
PECOS Enrollment IDI20080130000336
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.

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 20

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

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

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 Mulder Michaelson's NPI number?

The NPI number for Shannon Mulder Michaelson is 1467515536. It was assigned to this individual provider in the NPPES registry on December 19, 2006. The provider is also known as Shannon Miri Mulder MD.

Where is Shannon Mulder Michaelson located?

Shannon Mulder Michaelson practices at 11234 Anderson St Rm 2532, Loma Linda, CA 92354. The listed phone number is (909) 558-4475.

What is Shannon Mulder Michaelson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Shannon Mulder Michaelson enrolled in Medicare?

Yes. Shannon Mulder Michaelson 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 Mulder Michaelson was last updated on November 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.