SHANNON RENEE DORTON
NPI 1477058451
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
1400 FLORIDA AVE, MODESTO, CA 95350(209) 576-3528 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2021, Mar 29, 2018 (2 updates tracked since 2018).

About Shannon Renee Dorton NPPES

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

SHANNON RENEE DORTON (NPI 1477058451) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477058451
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON RENEE DORTON
Location Address1400 FLORIDA AVEModesto, CA 95350-4422
Mailing Address5407 Brookwood LnRichmond, CA 94803-3884
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 29, 2018
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPI 1477058451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1400 FLORIDA AVE, Modesto, CA 95350

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 Renee Dorton 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 ID5799163580
PECOS Enrollment IDI20220607002525
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services11 patients

Other Providers at the Same Location NPPES 19

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

Advanced Practice Midwife
1400 FLORIDA AVE, STE. 207
MODESTO, CA 95350
Advanced Practice Midwife
1400 FLORIDA AVE, STE. 207
MODESTO, CA 95350
Orthopaedic Surgery
1400 FLORIDA AVE
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE
MODESTO, CA 95350
Specialist
1400 FLORIDA AVE, SUITE 110
MODESTO, CA 95350
Family Medicine
1400 FLORIDA AVE
MODESTO, CA 95350
Neurological Surgery
1400 FLORIDA AVE, STE 104
MODESTO, CA 95350
Preferred Provider Organization
1400 FLORIDA AVE, SUITE 205 A
MODESTO, CA 95350

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 Dorton's NPI number?

The NPI number for Shannon Dorton is 1477058451. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Shannon Dorton located?

Shannon Dorton practices at 1400 Florida Ave, Modesto, CA 95350. The listed phone number is (209) 576-3528.

What is Shannon Dorton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Dorton enrolled in Medicare?

Yes. Shannon Dorton 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 Dorton was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.