SHANNON BAGNASCO – Family Nurse Practitioner, NPI 1235554510

SHANNON BAGNASCO is a healthcare provider. based in Escondido, California. specializing in NURSE PRACTITIONER. They hold a License No. 95000377 (CA). The NPI Number for SHANNON BAGNASCO is 1235554510

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON BAGNASCO
NPI
1235554510
Phone
(760) 737-6960
Address
425 N DATE ST
Enumeration Date
24 February 2014
Last Update Date
24 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7607963763
Graduation Year
2014 (12 years ago)
PAC ID
9638301351
Group Practice PAC ID
3971880055
Professional Enrollment ID
I20181112002595
Address ID
CA920252557ES800XXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for SHANNON BAGNASCO

  • 425 N DATE ST

    ESCONDIDO, CA 920253413

    Phone: (760) 737-6960

    Type: Mailing

  • 26926 CHERRY HILLS BLVD

    SUITE B

    MENIFEE, CA 925862500

    Phone: (951) 216-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181112002595INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes5923$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 92025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971880055View full group profile
NameSpecialtyState
Nurse PractitionerCA
-CA
-CA
Nurse PractitionerCA
Clinical Social WorkerCA
Family Practice, Hospice/Palliative CareCA

Reviews

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Frequently asked questions

Does SHANNON BAGNASCO have a public NPI I can cite?
Public records show SHANNON BAGNASCO under NPI 1235554510.
Does the public listing show SHANNON BAGNASCO as active?
SHANNON BAGNASCO's NPI record reflects an active status in NPPES.
What does the directory say SHANNON BAGNASCO does?
Insurance directories may phrase it differently, but here SHANNON BAGNASCO maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHANNON BAGNASCO?
SHANNON BAGNASCO is associated with Escondido, California in the same public data insurers reference.
Why is information missing for SHANNON BAGNASCO?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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