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Active NPI 1376842005 Individual Practitioner Female Practitioner

Shu Dong , NP

Nurse Practitioner • Banning, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shu Dong, NP is a certified Nurse Practitioner practicing in Banning, CA. With approximately 16 years of clinical experience since completing medical education in 2010, Shu Dong delivers high-quality medical care to the local community at 12359 MALKI RD.

Shu Dong is affiliated with Careathome Medical Practice Ma Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include complex chronic care management services for two or more chronic conditions, chronic care management services for two or more chronic conditions, additional, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12359 Malki Rd

Banning, CA 922206974

Telephone 9519222058
Fax 8885512116
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Banning, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs Matches City Avg
City Avg: 16.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Banning, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dong (16 Years) 16 Yrs
Banning Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month
503 106 $111.07 $71.42
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
260 109 $85.00 $47.55
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
202 121 $115.22 $61.79
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
153 106 $234.00 $133.06
99497 Advance care planning, first 30 minutes
26 26 $148.00 $79.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
22 22 $318.00 $177.40
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
20 14 $88.00 $48.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
20 20 $392.00 $217.32
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
17 17 $40.00 $15.82
96127 Assessment of emotional or behavioral problems
11 11 $10.00 $5.72

Medical Specialties & State Licenses

CMS Verified: 2024-07-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 20192

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX 1117425

Definition to come...

Hospital & Practice Group Affiliations

Careathome Medical Practice Ma Pc

75 Arlington St, Boston, MA 021163986

Phone: 8885532823

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2024

Nurse Practitioner (License #1117425 in TX)

📍
Updated Practice Location August 12, 2020

Registered at 12359 MALKI RD, BANNING, CA 922206974 (Tel: 9519222058)

📍
Updated Business Mailing Address August 12, 2020

Registered at 12359 MALKI RD, BANNING, CA 922206974 (Tel: 9519222058)

NPI Profile Active March 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2011

Registered at 4540 E 7TH ST, LONG BEACH, CA 908044327 (Tel: 5623441150)

📍
Updated Business Mailing Address March 21, 2011

Registered at 4540 E 7TH ST, LONG BEACH, CA 908044327

👤
Provider Name / Credentials Updated March 21, 2011

Recorded as SHU DONG, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2011

Nurse Practitioner (License #20192 in CA)

🟢
Initial NPI Registration & Enumeration March 21, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376842005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2011
Last Update: July 10, 2024
Sole Proprietor: No

Mailing Address

12359 Malki Rd

Banning, CA 922206974

Phone: 9519222058

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.