Shanna Mae McCue, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA64623 Issued in CA

Practice address

1706 El Camino Real Ste 101
Menlo Park, CA 94027-4110

Phone

(650) 325-1395

NPI assigned

May 24, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dearborn and Associates Institute for Joint RestorationGroup PAC ID 5698772101, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington Hospital Hospital, Fremont, CA, CCN 050195
• Stanford Health Care Hospital, Stanford, CA, CCN 050441

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smccue151946@direct.whhs.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dearborn & Associates Institute for Joint Restoration

  • Orthopaedic Surgery Physician
  • Fremont, CA
  • NPI 1053344838
  Medicare reassignment Care Compare group
• Emergency Physician Associates of Massachusetts PC

  • Emergency Medicine Physician
  • Worcester, MA
  • NPI 1730885252
  Medicare reassignment
• Dearborn & Associates Institute for Joint Restoration

  • Orthopaedic Surgery Physician
  • Merced, CA
  • NPI 1205796679
  NPD
• Dearborn & Associates Institute for Joint Restoration

  • Orthopaedic Surgery Physician
  • Menlo Park, CA
  • NPI 1750578670
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Stanford Health Care

  • Radiation Oncology Physician
  • Pleasanton, CA
  • NPI 1124561758

  Hospital

  Care Compare affiliation
• Stanford Health Care

  • General Acute Care Hospital
  • Emeryville, CA
  • NPI 1275076325
  Care Compare affiliation
• Stanford Health Care

  • General Acute Care Hospital
  • Emeryville, CA
  • NPI 1285177337
  Care Compare affiliation
• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927
  Care Compare affiliation
• Stanford Health Care

  • General Acute Care Hospital
  • Pleasanton, CA
  • NPI 1467990465
  Care Compare affiliation
• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1871543215
  Care Compare affiliation
• Stanford Life Flight

  • Air Ambulance
  • Stanford, CA
  • NPI 1114063203

  Hospital

  Care Compare affiliation
• Washington Township Hospital District

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1144912593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 EL CAMINO REAL STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940274110",
            "telephone_number": "650-325-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 EL CAMINO REAL STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940274110",
            "telephone_number": "650-325-1395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Summer St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "856-686-4336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Gardner Rd Apt 5J",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024454595",
            "country_code": "US",
            "telephone_number": "858-900-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUE",
        "first_name": "SHANNA",
        "middle_name": "MAE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64623",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA9470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110199973A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Maung, PHD
• Matthew Hoyt May, M.D.
• Michael Anthony Mazzuca, RN
• Jennifer Lynn McCollum, PH.D.
• Rebecca McConnaughy, MSN, RN, NP-C
• Samia McCully, ND
• Meghan Noel-Klees McDaniel, MCP, MEED
• Erik McDonald
• F Burt McDowell, MD
• Amy McGaughey, NP, CNM

• Physician Assistant in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.