Shannon Briana Kearns, FNP-C in Yucaipa, CA - Medicare Nurse Practitioner

Shannon Briana Kearns, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Yucaipa, California. Her current practice location is 35281 San Pablo Dr, Yucaipa, California. You can reach out to her office (for appointments etc.) via phone at (760) 221-4443.

Shannon Briana Kearns is licensed to practice in California (license number 95032187) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699572776.

Contact Information

	Shannon Briana Kearns, FNP-C
	35281 San Pablo Dr, Yucaipa, CA 92399-5433
	(760) 221-4443
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Briana Kearns
Gender	Female
Speciality	Nurse Practitioner - Family
Location	35281 San Pablo Dr, Yucaipa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699572776
Provider Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025

Medicare PECOS Information:

PECOS PAC ID: 8527586973
Enrollment ID: I20250519003192

Medical Identifiers

Medical identifiers for Shannon Briana Kearns such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699572776	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95032187 (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. Shannon Briana Kearns allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Shannon Briana Kearns 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 Address	Practice Location Address
Shannon Briana Kearns, FNP-C 35281 San Pablo Dr, Yucaipa, CA 92399-5433 Ph: (760) 221-4443	Shannon Briana Kearns, FNP-C 35281 San Pablo Dr, Yucaipa, CA 92399-5433 Ph: (760) 221-4443

Reviews and Comments

Nurse Practitioner Nurses in Yucaipa, CA

Suzanne Charlotte Moore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Mrs. Grace Enu Clerk, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35237 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-790-6200 Fax: 909-790-6220
Mi La Kim, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Carrie D Parrish, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Lisa Wong-soqui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Gilbert Agyemang-boakye, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11711 Sand Canyon Rd, Yucaipa, CA 92399 Phone: 909-389-3272
Katherine Jeanne Stafford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34952 Gail Ave, Yucaipa, CA 92399 Phone: 909-917-5504

Shannon Briana Kearns, FNP-C - Medicare Nurse Practitioner in Yucaipa, CA