DR. SHANNON EASTON-CARR MD
NPI 1508091711
Psychiatry & Neurology - Psychiatry in Modesto, CA

Active since May 18, 2009PECOS EnrolledAccepts Medicare Assignment
2102 EDSEL AVE, MODESTO, CA 95350(805) 762-4739(888) 462-8045 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, Oct 16, 2023 (2 updates tracked since 2023).

About Dr. Shannon Easton-carr Md NPPES

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

DR. SHANNON EASTON-CARR MD (NPI 1508091711) is an individual psychiatry provider in Modesto, California, licensed in California (A111411) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Luis Obispo, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2008).

NPPES Registry Identity

NPI1508091711
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SHANNON EASTON-CARRCredential: MD
Location Address2102 EDSEL AVEModesto, CA 95350-2819
Mailing Address1241 Johnson Ave # 313San Luis Obispo, CA 93401-3306 · (805) 762-4739 · Fax (888) 462-8045
Fax(888) 462-8045
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2008
Enumeration DateMay 18, 2009
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
NPI 1508091711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · A111411
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License A111411 (CA)
2102 EDSEL AVE, Modesto, CA 95350

Secondary Practice Location 1

Location 11428 Phillips Ln Ste 202San Luis Obispo, CA 93401-2567 · Phone (805) 762-4739 · Fax (888) 462-8045

Accepted Insurance

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

Dr. Shannon Easton-carr 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 ID9234316464
PECOS Enrollment IDI20110615000485
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 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
118 services32 patients
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.
117 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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

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

Psychiatry & Neurology (Psychiatry)
2102 EDSEL AVE
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 Easton-carr's NPI number?

The NPI number for Shannon Easton-carr is 1508091711. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Shannon Easton-carr located?

Shannon Easton-carr practices at 2102 Edsel Ave, Modesto, CA 95350. The listed phone number is (805) 762-4739.

What is Shannon Easton-carr's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shannon Easton-carr enrolled in Medicare?

Yes. Shannon Easton-carr 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.

What insurance does Shannon Easton-carr accept?

Health plans from Providence Health Plan list Shannon Easton-carr as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Easton-carr was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.