Justin R Shannon, NP - Medicare Nurse Practitioner in Redding, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Redding
Justin R Shannon, NP is a medicare enrolled "Nurse Practitioner" in Redding, California. His current practice location is 2175 Rosaline Ave, Redding, California. You can reach out to his office (for appointments etc.) via phone at (530) 225-6000.

Justin R Shannon is licensed to practice in California (license number PA15715) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093745655.

Contact Information

Justin R Shannon, NP
2175 Rosaline Ave,
Redding, CA 96001-2509
(530) 225-6000
(818) 587-2493

Map and Direction




Provider's Profile

Full NameJustin R Shannon
GenderMale
SpecialityNurse Practitioner
Location2175 Rosaline Ave, Redding, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093745655
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 10/18/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1951328798
  • Enrollment ID: I20051031000752

Medical Identifiers

Medical identifiers for Justin R Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093745655NPI-NPPES
RN559900MedicaidCA
P00249929OtherCARAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner PA15715 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Justin R Shannon allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameEnloe Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396753281
PECOS PAC ID: 9739092388
Enrollment ID: O20031110000404
Entity NameEnloe Medical Center
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1477975613
PECOS PAC ID: 9739092388
Enrollment ID: O20140401001696

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin R Shannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Justin R Shannon, NP
2100 Powell St, Ste 900,
Emeryville, CA 94608-1844

Ph: (510) 851-7423		Justin R Shannon, NP
2175 Rosaline Ave,
Redding, CA 96001-2509

Ph: (530) 225-6000

Reviews and Comments


Nurse Practitioner Nurses in Redding, CA

Elaine Isabella Edwards, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1035 Placer St, Redding, CA 96001
Phone: 415-606-4501    
Kathleen Toney, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1035 Placer St, Redding, CA 96001
Phone: 530-246-5710    Fax: 530-241-7838
Laurel Bennett, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 317 Lake Blvd Ste A, Redding, CA 96003
Phone: 530-337-5750    
Julie Schock, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1035 Placer St, Redding, CA 96001
Phone: 530-246-5710    Fax: 530-241-7838
Kristin Marie Trevor, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Liberty St, Redding, CA 96001
Phone: 530-246-2467    Fax: 530-242-9460
Erin Baldwin, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1035 Placer St, Redding, CA 96001
Phone: 530-246-5710    
Brian A Pongracz, ACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2624 Edith Ave, Redding, CA 96001
Phone: 530-806-1190    Fax: 530-229-7946

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.