MRS. SHANNON MICHELLE RATHBUN PA-C
NPI 1780733691
Physician Assistant - Surgical in Walnut Creek, CA

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
1425 S MAIN ST, WALNUT CREEK, CA 94596(925) 295-6018 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Shannon Michelle Rathbun Pa-c NPPES

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

MRS. SHANNON MICHELLE RATHBUN PA-C (NPI 1780733691) is an individual surgical provider in Walnut Creek, California, licensed in California (16801) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1780733691
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. SHANNON MICHELLE RATHBUNCredential: PA-C
Location Address1425 S MAIN STWalnut Creek, CA 94596-5318
Mailing Address307 Kathleen DrPleasant Hill, CA 94523-2219 · (925) 708-8554
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJanuary 11, 2022
NPI 1780733691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · 16801
1425 S MAIN ST, Walnut Creek, CA 94596

Other Names 1

Other Name (5)Shannon Michelle Ulrich Pa-c

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

Mrs. Shannon Michelle Rathbun Pa-c 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 ID1759274871
PECOS Enrollment IDI20040203001052
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.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596
Hospitalist
1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596
Obstetrics & Gynecology
1425 S MAIN ST
WALNUT CREEK, CA 94596
General Acute Care Hospital
1425 S MAIN ST
WALNUT CREEK, CA 94596
Nurse Anesthetist, Certified Registered
1425 S MAIN ST
WALNUT CREEK, CA 94596
Surgery (Vascular Surgery)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Social Worker (Clinical)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Psychiatry & Neurology (Neurology)
1425 S MAIN ST
WALNUT CREEK, CA 94596

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 Rathbun's NPI number?

The NPI number for Shannon Rathbun is 1780733691. It was assigned to this individual provider in the NPPES registry on January 9, 2007. The provider is also known as Shannon Michelle Ulrich Pa-C.

Where is Shannon Rathbun located?

Shannon Rathbun practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (925) 295-6018.

What is Shannon Rathbun's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shannon Rathbun enrolled in Medicare?

Yes. Shannon Rathbun 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.

When was this NPI record last updated?

The NPPES record for Shannon Rathbun was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.