Active NPI 1093745655 Individual Practitioner Male Practitioner

Justin R Shannon , NP

Nurse Practitioner • Redding, CA

Professional Overview & Biography Verified Profile Summary

Justin Shannon, NP is a registered healthcare professional specializing in Nurse Practitioner in Redding, CA. Practice services are available at 2175 ROSALINE AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low 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

2175 Rosaline Ave

Redding, CA 960012509

Telephone 5302256000

Fax 8185872493

Associated Practice Facility / Clinic

🏢 Mercy Surgery Center, Lp Facility NPI 1932102498

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Redding, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.4 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

47 Specialists

Practicing in Redding, CA (8378 Statewide)

Telehealth Adoption Rate

8.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99284 Emergency department visit with moderate level of medical decision making	208	196	$832.20	$103.95
99285 Emergency department visit for life threatening or functioning severity	77	75	$1224.00	$150.39
99283 Emergency department visit with low level of medical decision making	13	13	$440.00	$61.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	315	290	$793.14	$101.89
99285 Emergency department visit for life threatening or functioning severity	85	83	$1167.08	$148.03
99283 Emergency department visit with low level of medical decision making	27	27	$422.11	$60.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	278	251	$399.79	$61.50
99284 Emergency department visit with moderate level of medical decision making	192	184	$755.58	$103.97
99285 Emergency department visit for life threatening or functioning severity	76	72	$1109.74	$150.77
12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$385.67	$49.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	211	194	$380.90	$62.82
99284 Emergency department visit with moderate level of medical decision making	160	155	$720.02	$106.75
99285 Emergency department visit for life threatening or functioning severity	83	80	$1057.28	$155.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	259	248	$362.14	$56.94
99284 Emergency department visit with moderate level of medical decision making	211	203	$684.64	$104.01
99285 Emergency department visit for life threatening or functioning severity	71	67	$1008.11	$151.05
29125 Application of nonmoveable forearm to hand splint	16	16	$255.00	$35.34
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$51.21	$7.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	282	264	$338.26	$53.22
99284 Emergency department visit with moderate level of medical decision making	246	238	$640.10	$100.90
99285 Emergency department visit for life threatening or functioning severity	149	145	$941.77	$148.41
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	76	74	$48.08	$7.41
12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$325.00	$46.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	253	238	$296.87	$57.71
99284 Emergency department visit with moderate level of medical decision making	162	157	$496.44	$109.85
99285 Emergency department visit for life threatening or functioning severity	88	85	$750.39	$162.05
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	23	21	$38.61	$8.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	385	340	$268.77	$52.96
99284 Emergency department visit with moderate level of medical decision making	169	159	$446.86	$100.32
99285 Emergency department visit for life threatening or functioning severity	57	56	$667.00	$147.76
29125 Application of nonmoveable forearm to hand splint	14	14	$134.64	$34.82
10061 Complicated or multiple drainage of skin abscess	12	12	$611.33	$158.57

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA PA15715

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

RN559900 (CA)

Commercial Insurance / Payer ID Railroad Medicare

P00249929 (CA)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. James Pagano , MD

Emergency Medicine

NPI 1003855826

Doctor of Medicine (M.D.)

Dr. John Stewart , MD

Anesthesiology

NPI 1013016922

Doctor of Medicine (M.D.)

Dr. Kevin Parkes , MD

Emergency Medicine

NPI 1013938711

Doctor of Medicine (M.D.)

Carl Tjerandsen , PA

Physician Assistant

NPI 1023044427

Physician Assistant

Dr. Roger Woodard , MD

Emergency Medicine

NPI 1023054798

Doctor of Medicine (M.D.)

Dr. Gregory Bush , MD

Emergency Medicine

NPI 1023057122

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active October 18, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address October 18, 2017

Registered at 2100 POWELL ST, STE 900, EMERYVILLE, CA 946081844 (Tel: 5108517423)

📍

Updated Practice Location October 18, 2017

Registered at 2175 ROSALINE AVE, REDDING, CA 960012509 (Tel: 5302256000)

👤

Provider Name / Credentials Updated October 18, 2017

Recorded as JUSTIN SHANNON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2017

Nurse Practitioner (License #PA15715 in CA)

✅

NPI Profile Active April 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 10, 2013

Registered at 2175 ROSALINE AVE, REDDING, CA 960012509 (Tel: 5302256000)

📍

Updated Business Mailing Address April 10, 2013

Registered at PO BOX 4419, WOODLAND HILLS, CA 913654419 (Tel: 8662376336)

👤

Provider Name / Credentials Updated April 10, 2013

Recorded as JUSTIN SHANNON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2013

Nurse Practitioner (License #PA15715 in CA)

🟢

Initial NPI Registration & Enumeration July 03, 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: 1093745655

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2006

Last Update: October 18, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2100 Powell St, Ste 900

Emeryville, CA 946081844

Phone: 5108517423

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.