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

Q: 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.

Q: 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.

Q: 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 3 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.

Active since December 18, 2006PECOS Enrolled

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: August 02, 2026.

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

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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 and maintains a secondary practice location in Redondo Beach.

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

Phone(925) 282-1778

Sole ProprietorNo

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

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoebe Park Shinn Pmhnp-bc 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 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.

EITAN KADOSH LMFT

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