SHANICE SHANNON (PA) – Physician Assistant, NPI 1730840083
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for SHANICE SHANNON (PA)
4200 CHINO HILLS PKWY STE 450
CHINO HILLS, CA 917093779
Phone: (714) 599-8084
Type: Mailing
1101 HOSPITAL DR STE 100A
STOCKBRIDGE, GA 302819076
Phone: (770) 474-7416
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($57).
Total Amount
$57
General + Research + Ownership
Payments
2
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $57 |
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: 2023-04-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230427002371 | I | Physician Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 91709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| Physician Assistant | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| - | GA | |
| Qualified Audiologist | GA | |
| - | GA | |
| - | GA |
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