SHANNON MULLEN PA
NPI 1992173017
Physician Assistant - Medical in Redlands, CA
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About SHANNON MULLEN
This page provides the complete NPI Profile along with additional information for Shannon Mullen, a primary care provider established in Redlands, California with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1992173017 assigned on September 2015. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1992173017 Verify this NPI
- Provider Name
- SHANNON MULLEN PA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1690 BARTON RD REDLANDS, CA 92373
- Location Phone
- (909) 793-3311
- Mailing Address
- PO BOX 35380 LAS VEGAS, NV 89133
- Mailing Phone
- (702) 579-3203
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-05-2015
- Last Update Date
- 01-01-2026
- Code Navigator
A primary care provider (PCP) like Shannon Mullen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License State
- CA
Medicare Participation & PECOS Enrollment Status
Shannon Mullen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
REDLANDS, CA 92373
REDLANDS, CA 92373
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992173017, enumerated as an "individual" on September 05, 2015.
The provider is located at 1690 BARTON RD REDLANDS, CA 92373 and the phone number is (909) 793-3311.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
