DR. SHANNON ELYSE STOVALL LPC, PSYD
NPI 1861705188
Psychologist in Fremont, CA
About Dr. Shannon Elyse Stovall Lpc, Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON ELYSE STOVALL LPC, PSYD (NPI 1861705188) is an individual psychologist in Fremont, California, licensed in California (26755) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shannon Elyse Stovall Lpc, Psyd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Stovall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fremont, CA 94538
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: 3 Prong
- 10 clinicians in this Medicare group
Redwood City, CA 94063
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
FREMONT, CA 94538
FREMONT, CA 94538
FREMONT, CA 94538
FREMONT, CA 94538
FREMONT, CA 94538
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 Stovall's NPI number?
The NPI number for Shannon Stovall is 1861705188. It was assigned to this individual provider in the NPPES registry on July 15, 2010.
Where is Shannon Stovall located?
Shannon Stovall practices at 39159 Paseo Padre Pkwy Ste 121, Fremont, CA 94538. The listed phone number is (510) 952-1190.
What is Shannon Stovall's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Shannon Stovall enrolled in Medicare?
Yes. Shannon Stovall 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.
Which organizations bill Medicare for Shannon Stovall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Stovall reassigns Medicare benefits to 2 organizations: 3prong (Fremont, CA) and Permanente Medical Group Inc (Redwood City, 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 Stovall'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 Stovall was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.