Individual provider Active NPI

Shane A Sigler, P.A.-C

  • Surgical Physician Assistant
  • Ellensburg, WA
National Provider Identifier
1124094925
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA10003916 Issued in WA
Practice address
603 S Chestnut St
Ellensburg, WA 98926-3875
Phone
(509) 933-8700
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA10003916 WA Primary

Addresses

Primary practice location

603 S Chestnut St
Ellensburg, WA 98926-3875

Mailing address

603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (509) 962-9841

Other practice location 1

100 E Jackson Ave
Ellensburg, WA 98926-3692
Phone (509) 933-8777

Other practice location 2

111 S 11th Ave Ste 320
Yakima, WA 98902-3273
Phone (509) 454-8888

Other identifiers 1

IdentifierTypeStateIssuer
1042952MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050930000519 WA Practitioner - Physician Assistant 6709811474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kittitas County Public Hospital Dist 1Group PAC ID 0547179608, 82 clinicians

Practice addresses (Care Compare)

100 E Jackson Ave
Ellensburg, WA 98926-3692
Phone (509) 933-8777

603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (509) 962-9841

611 S Chestnut St
Ellensburg, WA 98926-4815

Hospital & facility affiliations

  • Kittitas Valley Community Hospital Hospital, Ellensburg, WA, CCN 501333
  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10003916WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas County Public Hosp Dist 1 CurrentSince May 1, 2024 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jul 31, 2023 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jul 31, 2023 Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince May 1, 2024 Accepting new patients
Kittitas County Public Hospital Dist 1 Past Accepting new patients

Locations

611 S Chestnut St
Ste D
Ellensburg, WA 98926
Phone (509) 933-7575

100 E Jackson Ave
Ellensburg, WA 98926
Phone (509) 574-6000

700 E Manitoba Ave
Ellensburg, WA 98926
Phone (509) 925-6100

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

111 S 11th Ave
Ste 320
Yakima, WA 98902
Phone (509) 248-7184

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

Organizations & group practices 6

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1124094925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S CHESTNUT ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263875",
            "telephone_number": "509-962-9841",
            "fax_number": "509-925-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S CHESTNUT ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263875",
            "telephone_number": "509-933-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Ellensburg",
            "state": "WA",
            "postal_code": "989263692",
            "country_code": "US",
            "telephone_number": "509-933-8777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S 11th Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023273",
            "country_code": "US",
            "telephone_number": "509-454-8888",
            "fax_number": "509-453-0061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIGLER",
        "first_name": "SHANE",
        "middle_name": "A",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA10003916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042952",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.