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

Active since July 07, 2015PECOS Enrolled
1325 TRAVIS BLVD STE C, FAIRFIELD, CA 94533(707) 398-8916 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2023, Jul 21, 2022, Apr 12, 2022 and 6 more (9 updates tracked since 2016).

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Sickle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Planned Paranthood Shasta Diablo Inc
Same address
Community Health
1325 TRAVIS BLVD., #C
Fairfield, CA 94533
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Planned Parenthood Shasta Diablo Inc
  • 61 clinicians in this Medicare group
NPI 1932269644 (707) 429-8855
Planned Parenthood Mar Monte, Inc
46 mi
Community Health
5700 WATT AVE
North Highlands, CA 95660
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
NPI 1184677163 (916) 332-5715

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

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
1325 TRAVIS BLVD STE C
FAIRFIELD, CA 94533
Solano County (707) 429-8855
FLORAINE KYLA ARROYO SIOSON FNP-C
Nurse Practitioner (Family)
1325 TRAVIS BLVD STE C
FAIRFIELD, CA 94533
Solano County (707) 429-8855
KATRINA ANNE ENGSTROM FNP-C
Nurse Practitioner (Family)
1325 TRAVIS BLVD STE C
FAIRFIELD, CA 94533
Solano County (707) 429-8855
JENNIFER ANN LOVELAND MSN, FNP
Nurse Practitioner (Family)
1325 TRAVIS BLVD STE C
FAIRFIELD, CA 94533
Solano County (707) 429-8855
BRIANA MARIE MITCHELL NP
Nurse Practitioner (Women's Health)
1325 TRAVIS BLVD STE C
FAIRFIELD, CA 94533
Solano County (707) 429-8855

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 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.

Where is Shannon Sickle located?

Shannon Sickle practices at 1325 Travis Blvd Ste C, Fairfield, CA 94533. The listed phone number is (707) 398-8916.

What is Shannon Sickle's specialty?

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

Is Shannon Sickle enrolled in Medicare?

Yes. Shannon Sickle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Sickle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Sickle reassigns Medicare benefits to 2 organizations: Planned Paranthood Shasta Diablo Inc (Fairfield, CA) and Planned Parenthood Mar Monte, Inc (North Highlands, CA). Each 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 Shannon Sickle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Sickle was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.