Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902961626 Individual Practitioner Female Practitioner

Shannon L Cornwell , PA

Physician Assistant • Fullerton, CA

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Shannon Cornwell, PA is a registered Physician Assistant practitioner in Fullerton, CA. With approximately 24 years of clinical practice since completing medical education in 2002, Shannon Cornwell provides healthcare services at the registered practice location at 101 E VALENCIA MESA DR.

Shannon Cornwell accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 E Valencia Mesa Dr
Em Dept

Fullerton, CA 928353809

Telephone 7149923965
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fullerton, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +14.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
139 Specialists

Practicing in Fullerton, CA (14617 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cornwell (24 Years) 24 Yrs
Fullerton Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
29 29 $854.00 $103.69

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA17022

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
WPA17022A (CA)
Commercial Insurance / Payer ID Tricare
330311953 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Iksoo Kang , MD

Emergency Medicine

NPI 1093758393

Doctor of Medicine (M.D.)

Dr. Erwin Song , MD

Emergency Medicine

NPI 1154359024

Doctor of Medicine (M.D.)

Dr. Matthew Mckay , MD

Emergency Medicine

NPI 1184653966

Doctor of Medicine (M.D.)

Dr. Timothy Greco , MD

Emergency Medicine

NPI 1255369757

Doctor of Medicine (M.D.)

Dr. Karl Feng , MD

Emergency Medicine

NPI 1306875190

Doctor of Medicine (M.D.)

Melinda Garcia , PA

Physician Assistant

NPI 1437226263

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 11, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2009

Registered at 101 E VALENCIA MESA DR, EM DEPT, FULLERTON, CA 928353809 (Tel: 7149923965)

📍
Updated Business Mailing Address March 11, 2009

Registered at 4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 731341785 (Tel: 4057514664)

👤
Provider Name / Credentials Updated March 11, 2009

Recorded as SHANNON CORNWELL, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2009

Physician Assistant (License #PA17022 in CA)

🟢
Initial NPI Registration & Enumeration December 22, 2006

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: 1902961626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2006
Last Update: March 11, 2009
Sole Proprietor: Yes

Mailing Address

4401 W Memorial Rd, Suite 121

Oklahoma City, OK 731341785

Phone: 4057514664

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.