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SHANNON MARIE LIRA NP
NPI 1639876410
Nurse Practitioner - Family in Temecula, CA

Active since February 13, 2023PECOS Enrolled
31625 DE PORTOLA RD STE 101, TEMECULA, CA 92592(951) 501-4200 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2026, Nov 16, 2023, Feb 13, 2023 (3 updates tracked since 2023).

About Shannon Marie Lira Np NPPES

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

SHANNON MARIE LIRA NP (NPI 1639876410) is an individual family provider in Temecula, California, licensed in California (95023962) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639876410
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON MARIE LIRACredential: NP
Location Address31625 DE PORTOLA RD STE 101Temecula, CA 92592-2770
Mailing Address31625 De Portola Rd Ste 101Temecula, CA 92592-2770 · (951) 501-4200
Phone(951) 501-4200
Sole ProprietorNo
Enumeration DateFebruary 13, 2023
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1639876410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95023962
31625 DE PORTOLA RD STE 101, Temecula, CA 92592
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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)

Shannon Marie Lira Np 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

2

Medicare enrollment records show Shannon Lira reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trinity Medical Multi-Specialty Group Inc.
Same address
Gastroenterology
31625 DE PORTOLA RD STE 101
Temecula, CA 92592
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1598399917 (951) 501-4200
Southern California Permanente Medical Group
48 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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 92592 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 12

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

DR. RAJESH VELUVOLU MD
Internal Medicine (Gastroenterology)
31625 DE PORTOLA RD STE 101
TEMECULA, CA 92592
Riverside County (951) 501-4200
ERIKA JEANNE PROVENCE FNP
Nurse Practitioner
31625 DE PORTOLA RD STE 101
TEMECULA, CA 92592
Riverside County (951) 501-4200
MR. INDRANEEL CHAKRABARTY M.D.
Internal Medicine (Gastroenterology)
31625 DE PORTOLA RD STE 101
TEMECULA, CA 92592
Riverside County (951) 501-4200
KIMBERLY D PIERSON PA-C
Physician Assistant
31625 DE PORTOLA RD STE 101
TEMECULA, CA 92592
Riverside County (951) 501-4200
EMANUEL AFRAM SHAPERA MD
Surgery (Surgical Oncology)
31625 DE PORTOLA RD STE 101
TEMECULA, CA 92592
Riverside County (951) 501-4200
TRINITY MEDICAL MULTI-SPECIALTY GROUP INC.
Internal Medicine (Gastroenterology)
31625 DE PORTOLA RD STE 101
TEMECULA, CA 92592
Riverside County (951) 501-4200
MRS. SANDRA HLAVAC FNP-C
Nurse Practitioner (Family)
31625 DE PORTOLA RD STE 101
TEMECULA, CA 92592
Riverside County (951) 501-4200
TERESA GEISINGER
Nurse Practitioner (Family)
31625 DE PORTOLA RD STE 101
TEMECULA, CA 92592
Riverside County (951) 501-4200

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 Lira's NPI number?

The NPI number for Shannon Lira is 1639876410. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Shannon Lira located?

Shannon Lira practices at 31625 De Portola Rd Ste 101, Temecula, CA 92592. The listed phone number is (951) 501-4200.

What is Shannon Lira's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Lira enrolled in Medicare?

Yes. Shannon Lira is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Lira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Lira reassigns Medicare benefits to 2 organizations: Trinity Medical Multi-Specialty Group Inc. (Temecula, CA) and Southern California Permanente Medical Group (San Diego, 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 Shannon Lira'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 Shannon Lira was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.