Individual provider Active NPI

Shannon Marie Boyd-Ellington, NP

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1306641469
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033843 Issued in CA
Practice address
40713 Symphony Park LN
Murrieta, CA 92562-5898
Phone
(951) 719-5920
NPI assigned
Feb 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95033843 CA Primary

Addresses

Primary practice location

40713 Symphony Park LN
Murrieta, CA 92562-5898

Mailing address

40713 Symphony Park LN
Murrieta, CA 92562-5898
Phone (951) 719-5920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250623001028 CA Practitioner - Nurse Practitioner 4981116373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 W Valley Pkwy
Suite 203
Escondido, CA 92025-2557
Phone (760) 796-3763

Hospital & facility affiliations

  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Supportive Medical Specialists, a Medical Corporation CurrentSince May 1, 2025 Accepting new patients

Locations

800 W Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (800) 797-2050

800 W Valley Pkwy
Ste 203
Escondido, CA 92025
Phone (760) 796-3763

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1306641469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40713 SYMPHONY PARK LN",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625898",
            "telephone_number": "951-719-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40713 SYMPHONY PARK LN",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625898",
            "telephone_number": "951-719-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD-ELLINGTON",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.