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SHINGLETOWN MEDICAL CENTER
NPI 1750387072
Clinic/Center - Federally Qualified Health Center (FQHC) in Shingletown, CA

Active since June 22, 2005
31292 ALPINE MEADOWS RD, SHINGLETOWN, CA 96088(530) 474-3390(530) 474-4899 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shingletown Medical Center NPPES

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

SHINGLETOWN MEDICAL CENTER (NPI 1750387072) is a healthcare organization registered as a federally qualified health center (fqhc) in Shingletown, California and active in the NPI registry since June 2005. The organization lists Tami Fraser, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750387072
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSHINGLETOWN MEDICAL CENTER
Location Address31292 ALPINE MEADOWS RDShingletown, CA 96088-9462
Mailing Address31292 Alpine Meadows RdShingletown, CA 96088-9462 · (530) 474-3390 · Fax (530) 474-4899
Phone(530) 474-3390
Fax(530) 474-4899
Organization SubpartNo
Authorized OfficialTami FraserCeo · (530) 474-3390
Enumeration DateJune 22, 2005
Last NPPES UpdateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1750387072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 230000091
31292 ALPINE MEADOWS RD, Shingletown, CA 96088
Open in Google Maps ↗

Other Identifiers 2

MedicaidFHC03870FCA
OtherZZZ30035ZCA · Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shingletown Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Shingletown Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Nicole Clark, LCSW
Clinical Social Worker
NPI 1467893032
31292 ALPINE MEADOWS RD
Shingletown, CA 96088
(530) 474-3390
✔ PECOS✔ Accepts MedicareSame address
Sara Nopwaskey, NP-C
Nurse Practitioner
NPI 1871102228
2151 LARKSPUR LN STE B
Redding, CA 96002
(858) 276-0968
✔ PECOS✔ Accepts Medicare25 mi
Helene Cook
Podiatry
NPI 1326508961
2662 EDITH AVE
Redding, CA 96001
(530) 395-0340
✔ PECOS✔ Accepts Medicare28 mi
Joshua Leach, DC
Chiropractic
NPI 1104265131
824 PINE ST
Mount Shasta, CA 96067
(530) 926-4528
✔ Accepts Medicare61 mi
Pamela Orr, MSN RN CS FNP
Nurse Practitioner
NPI 1730154527
49165 ROAD 426
Oakhurst, CA 93644
(559) 664-4000
✔ PECOS✔ Accepts Medicare249 mi
Simranjot Thind
Nurse Practitioner
NPI 1053902130
300 FIREHOUSE DR
Kannapolis, NC 28083
(704) 403-8250
✔ PECOS2,258 mi
Steven Licata, DO
Osteopathic Manipulative Medicine
NPI 1508874439
4109 N FEDERAL HWY
Ft Lauderdale, FL 33308
(954) 563-2707
✔ PECOS✔ Accepts Medicare2,581 mi

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

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 Shingletown Medical Center's NPI number?

The NPI number for Shingletown Medical Center is 1750387072. It was assigned to this organization in the NPPES registry on June 22, 2005.

Where is Shingletown Medical Center located?

Shingletown Medical Center is located at 31292 Alpine Meadows Rd, Shingletown, CA 96088. The listed phone number is (530) 474-3390.

What is Shingletown Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Shingletown Medical Center enrolled in Medicare?

Yes. Shingletown Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shingletown Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Shingletown Medical Center. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Chiropractic (1) and Clinical Social Worker (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shingletown Medical Center was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.