SHANNON MULLEN PA
NPI 1992173017
Physician Assistant - Medical in Redlands, CA
About Shannon Mullen Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON MULLEN PA (NPI 1992173017) is an individual medical provider in Redlands, California and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Mullen Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
REDLANDS, CA 92373
REDLANDS, CA 92373
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 Mullen's NPI number?
The NPI number for Shannon Mullen is 1992173017. It was assigned to this individual provider in the NPPES registry on September 5, 2015.
Where is Shannon Mullen located?
Shannon Mullen practices at 1690 Barton Rd, Redlands, CA 92373. The listed phone number is (909) 793-3311.
What is Shannon Mullen's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Shannon Mullen enrolled in Medicare?
Yes. Shannon Mullen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shannon Mullen was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Shannon Mullen, PA · NPI 1992173017
Medical physician in Redlands, California. Individual provider, active in the CMS NPPES registry since September 5, 2015.
## Identity
- **NPI:** 1992173017 (Entity type: Individual)
- **Enumerated:** September 5, 2015
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1690 BARTON RD, Redlands, CA 92373-4229
- **Phone:** (909) 793-3311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1992173017) · Data from the CMS NPPES public registry.