SHANNON ROSE SICKLE FNP - NPI 1851774962 - Nurse Practitioner in Fairfield, CA

Q: What is Shannon Sickle's NPI number?

The NPI number for Shannon Sickle is 1851774962. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Q: What is Shannon Sickle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Sickle was last updated on June 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shannon Rose Sickle Fnp NPPES

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

SHANNON ROSE SICKLE FNP (NPI 1851774962) is an individual family provider in Fairfield, California, licensed in California (95016166) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851774962

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON ROSE SICKLECredential: FNP

Location Address1325 TRAVIS BLVD STE CFairfield, CA 94533-4611

Mailing Address1691 The AlamedaSan Jose, CA 95126-2203 · (408) 287-7526

Phone(707) 398-8916

Sole ProprietorNo

Enumeration DateJuly 7, 2015

Last NPPES UpdateJune 12, 20239 updates tracked since enumeration

NPPES CertifiedJune 12, 2023

✔ NPI 1851774962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95016166

Also ListedRegistered NurseTaxonomy 163W00000X · License 95231874 (CA)

1325 TRAVIS BLVD STE C, Fairfield, CA 94533

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Rose Sickle Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94533 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

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$113.05 typical visit price

range $21.86 – $157.69

Typical copayment $28.26 (range $5.46 – $39.42)

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 5

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

ANA MARIA GONZALEZ

Registered Nurse