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SHAUNA RENEE KING HOLLIS PMHNP
NPI 1538300074
Nurse Practitioner - Psychiatric/Mental Health in San Francisco, CA

Active since March 12, 2009PECOS Enrolled
801 PORTOLA DR STE 108, SAN FRANCISCO, CA 94127(619) 532-7894 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shauna Renee King Hollis Pmhnp NPPES

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

SHAUNA RENEE KING HOLLIS PMHNP (NPI 1538300074) is an individual psychiatric/mental health provider in San Francisco, California, licensed in California (520754) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538300074
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHAUNA RENEE KING HOLLISCredential: PMHNP
Location Address801 PORTOLA DR STE 108San Francisco, CA 94127-1234
Mailing Address2001 42nd AveSan Francisco, CA 94116-1024 · (619) 532-7894
Phone(619) 532-7894
Sole ProprietorYes
Enumeration DateMarch 12, 2009
Last NPPES UpdateSeptember 27, 2018
✔ NPI 1538300074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 520754
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 520754 (CA)
801 PORTOLA DR STE 108, San Francisco, CA 94127
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shauna Renee King Hollis Pmhnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shauna King Hollis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
1.4 mi
Endocrinology, Diabetes & Metabolism
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
NPI 1376613943 (415) 353-2350
University Of California San Francisco
1.4 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
1.4 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94127 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 6

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

BRIAN KIM
Marriage & Family Therapist
801 PORTOLA DR STE 108
SAN FRANCISCO, CA 94127
San Francisco County (415) 674-7504
JANAE LAUREEN DUECK
Marriage & Family Therapist
801 PORTOLA DR STE 108
SAN FRANCISCO, CA 94127
San Francisco County (415) 674-7504
DARIA BASHKINA COCHRAN M.ED., PHD
Counselor (Professional)
801 PORTOLA DR STE 108
SAN FRANCISCO, CA 94127
San Francisco County (415) 674-7504
RADIANCE COUNSELING, A PROFESSIONAL CLINICAL COUNSELOR CORPORATION, INC
Clinic/Center (Multi-Specialty)
801 PORTOLA DR STE 108
SAN FRANCISCO, CA 94127
San Francisco County (469) 834-1820
TONYA WAECHTER
Marriage & Family Therapist
801 PORTOLA DR STE 108
SAN FRANCISCO, CA 94127
San Francisco County (415) 674-7504
KIM DO
Marriage & Family Therapist
801 PORTOLA DR STE 108
SAN FRANCISCO, CA 94127
San Francisco County (415) 674-7504

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 Shauna King Hollis's NPI number?

The NPI number for Shauna King Hollis is 1538300074. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Where is Shauna King Hollis located?

Shauna King Hollis practices at 801 Portola Dr Ste 108, San Francisco, CA 94127. The listed phone number is (619) 532-7894.

What is Shauna King Hollis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shauna King Hollis enrolled in Medicare?

Yes. Shauna King Hollis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shauna King Hollis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shauna King Hollis reassigns Medicare benefits to 3 organizations: Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shauna King Hollis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shauna King Hollis was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.