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SHANNON LYN MANLEY FNP-BC
NPI 1780149153
Nurse Practitioner in Oakland, CA

Active since February 09, 2019PECOS EnrolledAccepts Medicare Assignment
3900 PIEDMONT AVE, OAKLAND, CA 94611(415) 432-7899(510) 899-7101 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2019, Feb 9, 2019 (2 updates tracked since 2019).

About Shannon Lyn Manley Fnp-bc NPPES

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

SHANNON LYN MANLEY FNP-BC (NPI 1780149153) is an individual nurse practitioner in Oakland, California, licensed in California (95010607) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780149153
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON LYN MANLEYCredential: FNP-BC
Location Address3900 PIEDMONT AVEOakland, CA 94611-5352
Mailing Address3400 Data Dr, Attn: Credentialing/payer EnrollmentRancho Cordova, CA 95670-7956
Phone(415) 432-7899
Fax(510) 899-7101
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 9, 2019
Last NPPES UpdateFebruary 28, 20192 updates tracked since enumeration
✔ NPI 1780149153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95010607
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3900 PIEDMONT AVE, Oakland, CA 94611
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Other Names 1

Former Name (1)Shannon Jordan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 Lyn Manley Fnp-bc 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 ID1951642743
PECOS Enrollment IDI20190403003276
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers21 claims21 services$2.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

JAIME LINSENBIGLER PA-C
Physician Assistant
3900 PIEDMONT AVE
OAKLAND, CA 94611
Alameda County (415) 432-7899
SPENCER KNAPP PA-C
Physician Assistant
3900 PIEDMONT AVE
OAKLAND, CA 94611
Alameda County (415) 432-7899
EMMA JAYNE PINIZZOTTO PA-C
Physician Assistant
3900 PIEDMONT AVE
OAKLAND, CA 94611
Alameda County (415) 432-7899

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 Manley's NPI number?

The NPI number for Shannon Manley is 1780149153. It was assigned to this individual provider in the NPPES registry on February 9, 2019. The provider is also known as Shannon Jordan.

Where is Shannon Manley located?

Shannon Manley practices at 3900 Piedmont Ave, Oakland, CA 94611. The listed phone number is (415) 432-7899.

What is Shannon Manley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Manley enrolled in Medicare?

Yes. Shannon Manley 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 Manley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma list Shannon Manley 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 Manley was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.