Shirley Duncan, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95010030 Issued in CA

Practice address

58375 29 Palms Hwy
Yucca Valley, CA 92284-5813

Phone

(760) 365-9305

Fax

(760) 365-9309

NPI assigned

Nov 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

85.48 of 100Reported as group

Quality

56.38

Improvement activities

40

Cost

82.89

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: shirley.duncan.1@11678.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Manikanda Raja MD a Professional Medical Corporation

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1497147847
  Medicare reassignment NPD
• Abc Medical Corporation

  • Urgent Care Clinic/Center
  • Hemet, CA
  • NPI 1174803043
  NPD

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1407323025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58383 29 PALMS HWY STE 101",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845891",
            "telephone_number": "760-365-9305",
            "fax_number": "760-365-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58375 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845813",
            "telephone_number": "760-365-9305",
            "fax_number": "760-365-9309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72724 29 Palms Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Twentynine Palms",
            "state": "CA",
            "postal_code": "922772459",
            "country_code": "US",
            "telephone_number": "760-367-5906",
            "fax_number": "760-367-5986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "SHIRLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95010030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Jean Dorticos, LAC,ADC,IADC,CADCIII
• Roy Doten
• Laurence W Dotson, D.D.S.
• Patricia Lynn Doyle, PA
• Danielle M Dumais
• Dana Suzanne Dunham
• Nashyrah Star Dunn
• Dva Renal Healthcare Inc (Hi-Desert Dialysis)
• Starlyn Kanada Eckerman
• Angelique Eddins

• Adult Health Nurse Practitioner in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.