PHOEBE PARK SHINN PMHNP-BC
NPI 1952464133
Nurse Practitioner - Psychiatric/Mental Health in Marina Del Rey, CA

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
13160 MINDANAO WAY STE 213, MARINA DEL REY, CA 90292(925) 282-1778 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2026, Mar 21, 2026, Nov 12, 2024 and 2 more (5 updates tracked since 2021).

About Phoebe Park Shinn Pmhnp-bc NPPES

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

PHOEBE PARK SHINN PMHNP-BC (NPI 1952464133) is an individual psychiatric/mental health provider in Marina Del Rey, California, licensed in California (18952) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Redondo Beach, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1952464133
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePHOEBE PARK SHINNCredential: PMHNP-BC
Location Address13160 MINDANAO WAY STE 213Marina Del Rey, CA 90292-6358
Mailing Address2114 Artesia BlvdRedondo Beach, CA 90278-3014 · (310) 392-8636 · Fax (310) 943-3521
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 18, 2006
Last NPPES UpdateApril 10, 20265 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1952464133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 18952
Also ListedRegistered NurseTaxonomy 163W00000X · License 601300 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 18952 (CA)
13160 MINDANAO WAY STE 213, Marina Del Rey, CA 90292

Other Names 1

Former Name (1)Phoebe S Park

Secondary Practice Location 1

Location 12114 Artesia BlvdRedondo Beach, CA 90278-3014 · Phone (310) 392-8636 · Fax (310) 943-3521

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

Phoebe Park Shinn Pmhnp-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 ID2365510161
PECOS Enrollment IDI20140521000331
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 Phoebe Shinn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
905 VENICE BLVD
Venice, CA 90291
  • Reassigned Medicare billing, California enrollment
  • 147 clinicians in this Medicare group
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims32 services$3.27 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$156.83 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 9

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

Marriage & Family Therapist
13160 MINDANAO WAY STE 213
MARINA DEL REY, CA 90292
Marriage & Family Therapist
13160 MINDANAO WAY STE 213
MARINA DEL REY, CA 90292
Psychiatry & Neurology (Psychiatry)
13160 MINDANAO WAY STE 213
MARINA DEL REY, CA 90292
Social Worker (Clinical)
13160 MINDANAO WAY STE 213
MARINA DEL REY, CA 90292
Nurse Practitioner (Psychiatric/Mental Health)
13160 MINDANAO WAY STE 213
MARINA DEL REY, CA 90292
Social Worker (Clinical)
13160 MINDANAO WAY STE 213
MARINA DEL REY, CA 90292
Marriage & Family Therapist
13160 MINDANAO WAY STE 213
MARINA DEL REY, CA 90292
Nurse Practitioner (Psychiatric/Mental Health)
13160 MINDANAO WAY STE 213
MARINA DEL REY, CA 90292

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 Phoebe Shinn's NPI number?

The NPI number for Phoebe Shinn is 1952464133. It was assigned to this individual provider in the NPPES registry on December 18, 2006. The provider is also known as Phoebe S Park.

Where is Phoebe Shinn located?

Phoebe Shinn practices at 13160 Mindanao Way Ste 213, Marina Del Rey, CA 90292. The listed phone number is (925) 282-1778.

What is Phoebe Shinn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Phoebe Shinn enrolled in Medicare?

Yes. Phoebe Shinn 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 Phoebe Shinn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phoebe Shinn reassigns Medicare benefits to 2 organizations: Venice Family Clinic (Venice, CA) and Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 Phoebe Shinn'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 Phoebe Shinn was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.