SHANNON PETERSON M.D.
NPI 1710197041
Psychiatry & Neurology - Psychiatry in Walnut Creek, CA

Q: What is Shannon Peterson's NPI number?

The NPI number for Shannon Peterson is 1710197041. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Shannon Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Peterson was last updated on February 28, 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.

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment

201 N CIVIC DR STE 183, WALNUT CREEK, CA 94596(925) 299-9033(925) 299-9030 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2018, Mar 23, 2017 (2 updates tracked since 2017).

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About Shannon Peterson M.d. NPPES

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

SHANNON PETERSON M.D. (NPI 1710197041) is an individual psychiatry provider in Walnut Creek, California, licensed in California (A115681) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of University Of Southern California Keck School Of Medicine (2006).

NPPES Registry Identity

NPI1710197041

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameSHANNON PETERSONCredential: M.D.

Location Address201 N CIVIC DR STE 183Walnut Creek, CA 94596-3864

Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · (916) 576-7900 · Fax (916) 285-0338

Phone(925) 299-9033

Fax(925) 299-9030

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2006

Enumeration DateMay 23, 2007

Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2024

✔ NPI 1710197041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in CA · A115681✔ Licensed in MA · 229585

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.

201 N CIVIC DR STE 183, Walnut Creek, CA 94596

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Secondary Practice Location 1

Location 185 E Newton St # M802Boston, MA 02118-2340 · Phone (617) 638-8540 · Fax (617) 638-8542

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Shannon Peterson M.d. 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 ID8921384553

PECOS Enrollment IDI20170417000585

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

56 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94596 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 8

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

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