| Mrs Shannon Leann Mabie, FNP-C | |
|
255 Terracina Blvd Ste 202, Redlands, CA 92373-4870 | |
| (909) 748-6065 | |
| Not Available |
| Full Name | Mrs Shannon Leann Mabie |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 255 Terracina Blvd Ste 202, Redlands, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124502190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95010011 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 202200229NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 635 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon Leann Mabie, FNP-C 2875 Ne Stucki Ave, Hillsboro, OR 97124-5806 Ph: (951) 756-5642 | Mrs Shannon Leann Mabie, FNP-C 255 Terracina Blvd Ste 202, Redlands, CA 92373-4870 Ph: (909) 748-6065 |
John Adeniji, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 W Redlands Blvd, Redlands, CA 92373 Phone: 909-335-3026 | |
Cynthia L Pacheco, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 | |
Mrs. Lisa C Anderson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 Fax: 909-796-4158 | |
Natasha Mirella Ramirez, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 103, Redlands, CA 92373 Phone: 909-558-6600 | |
Mark Alan Hiday, F.N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-335-5500 | |
Sunah Song, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26001 Redlands Blvd # 117, Redlands, CA 92373 Phone: 909-894-7677 | |
Julia Sporka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9980 Alabama St # F2, Redlands, CA 92374 Phone: 909-335-0980 |