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Kelly Shannon

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NPI Number Detailed Information

Provider Information:

Name: Kelly Shannon
Gender: F
Provider License Number If Given: 724598

NPI Information:

NPI: 1265886071
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/18/2016

Last Update Date: 9/7/2016

Provider Business Mailing Address:

Address: 669 W TRAMONTO DR
Mountain House, CA 95391
Phone Number: 2108787220
Fax Number:

Provider Business Practice Location Address:

Address: 669 W TRAMONTO DR
Mountain House, CA 95391
Phone Number: 2108787220
Fax Number:

Provider Taxonomy:

Primary: 163WE0003X
Secondary (if any): 363LF0000X
State: CA

Top Doctors in CA

 

About Kelly Shannon

Kelly Shannon ( KELLY SHANNON ) is Definition Registered Nurse Physician in Mountain House, CA. The NPI Number for Kelly Shannon is 1265886071.
The current location address for Kelly Shannon is 669 W TRAMONTO DR Mountain House, CA 95391 and the contact number is 2108787220 and fax number is . The mailing address for Kelly Shannon is 669 W TRAMONTO DR Mountain House, CA 95391- 2108787220 (mailing address contact number - 2108787220).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Kelly Shannon ?


Answer: The NPI Number for Kelly Shannon is 1265886071

Where is Kelly Shannon located?


Answer: Kelly Shannon is located at 669 W TRAMONTO DR Mountain House, CA 95391.

What is the specialty for Kelly Shannon ?


Answer: The Specialty of Kelly Shannon is Definition Registered Nurse Physician.

Are there any online reviews for Kelly Shannon ?


Answer: Not yet!

Are there any other health care providers in Mountain House, CA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Kelly Shannon

Number of HCPCS 20
Number of Medicare Beneficiaries 169
Number of Services 190
Total Submitted Charge Amount 75017
Total Medicare Allowed Amount 25807.18
Total Medicare Payment Amount 20352.87
Total Medicare Standardized Payment Amount 17021.41
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 20
Number of Medicare Beneficiaries With Medical 169
Number of Medical Services 190
Total Medical Submitted Charge Amount 75017
Total Medical Medicare Allowed Amount 25807.18
Total Medical Medicare Payment Amount 20352.87
Total Medical Medicare Standardized Payment Amount 17021.41
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 21
Number of Beneficiaries Age 65 to 74 64
Number of Beneficiaries Age 75 to 84 60
Number of Beneficiaries Age Greater 84 24
Number of Female Beneficiaries 109
Number of Male Beneficiaries 60
Number of Non-Hispanic White Beneficiaries 119
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 20
Number of Hispanic Beneficiaries 18
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 35
Number of Beneficiaries With Medicare Only Entitlement 134
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.11
Percent (%) of Beneficiaries Identified With Asthma 0.14
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure 0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.3
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.13
Percent (%) of Beneficiaries Identified With Depression 0.2
Percent (%) of Beneficiaries Identified With Diabetes 0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.63
Percent (%) of Beneficiaries Identified With Hypertension 0.71
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.27
Percent (%) of Beneficiaries Identified With Osteoporosis 0.17
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.1739

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 161
Number of Standardized 30-Day Fills 162.33333333
Aggregate Cost Paid for All Claims 2335.81
Number of Day's Supply for All Claims 1568
Number of Medicare Beneficiaries 101
Number of Claims, Including Refills, for Beneficiaries Age 65+ 135
Including Refills, for Beneficiaries Age 65+ 136.33333333
Beneficiaries Age 65+ 1933.93
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1354
Number of Medicare Beneficiaries Age 65+ 86
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 161
Aggregate Cost Paid for Generic Drugs 2335.81
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 25
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 410.59
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 136
Aggregate Cost Paid for Claims Filled by 1925.22
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 52
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 700.22
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 109
by Low-Income Subsidy 1635.59
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 75
Aggregate Cost Paid for Antibiotic Drugs 1076.46
Antibiotic Claims 63
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 72.02970297
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 43
Number of Beneficiaries Age 75 to 84 33
Number of Female Beneficiaries 69
Number of Male Beneficiaries 32
Number of Non-Hispanic White 62
Number of Black or African American
Number of Asian Pacific Islander 17
Number of Hispanic Beneficiaries 13
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 69
Average Hierarchical Condition Category 0.9807504325

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Mrs. Michelle I Steneck
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Ms. Alice Ocampo Bermundo
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Mrs. Swathi Chitti
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Mr. Trung Ha Quach
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Kelly Shannon
Emergency Registered Nurse
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Address: 669 W TRAMONTO DR Mountain House, CA 95391 , Phone: 2108787220
Dianna Corden
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Address: 129 N SIERRA MADRE ST Mountain House, CA 95391 , Phone: 5105990649
Navjeet Kaur
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Address: 319 W ALAMEDA DR Mountain House, CA 95391 , Phone: 4088165121
Dyana Lam
Behavioral Analyst
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Vanesa Martinez Pena
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Mr. Serafin Lomeli JR.
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NPI Number: 1538643051
Address: 111 S DE ANZA BLVD Mountain House, CA 95391 , Phone: 2098367400
Mrs. Sandra Edmond Fobbs
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NPI Number: 1841774361
Address: 685 N MONTEBELLO ST Mountain House, CA 95391 , Phone: 2098367230
Geraldine Kliceria Cruz
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Address: 422 W CORAZON CT Mountain House, CA 95391 , Phone: 2095972159
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Dhillon Dental Incorporated
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Kelly Shannon in Other Directories

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