Shannon L. Cornwell, PA
NPI 1902961626ActiveIndividual· Physician Assistant· Fullerton, CA
Physician Assistant (PA) in Fullerton, California, licensed in CA, with an NPI issued in December 2006. 49 Medicare patients in 2024, $5,829 paid; nearly all of their 150 Part D prescriptions were generic (97%).
Overview
| NPI | 1902961626 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Dec 22, 2006 |
| Last updated in NPPES | Mar 11, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA17022 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 63 across 11 procedure codes |
| Paid by Medicare | $5,829 |
Part D prescriptions in 2024
| Prescriptions (claims) | 150 · 150 30-day fills |
|---|---|
| Patients | 91 |
| Total drug cost | $6,074 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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