NPIMap

Individual provider Active NPI

Shawna Deanne Steffan, PA-C

  • Physician Assistant
  • Warren, PA
National Provider Identifier
1134401482
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16841 Issued in TX
Practice address
2 W Crescent Park FL 3
Warren, PA 16365-2111
Phone
(814) 726-0273
Fax
(814) 726-9416
NPI assigned
Sep 13, 2011
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA003320 PA
Medical Physician Assistant 363AM0700X MA052582 PA
Physician Assistant 363A00000X PA16841 TX Primary

Addresses

Primary practice location

2 W Crescent Park FL 3
Warren, PA 16365-2111

Mailing address

2 W Crescent Park
Credentials Office
Warren, PA 16365-2111
Phone (814) 723-4973

Other names 1

  • Shawna Deanne Mead Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shawnasteffan@wagho.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111011000526 PA Practitioner - Physician Assistant 5092987339
I20240910004213 TX Practitioner - Physician Assistant 5092987339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

2236 N Loop 336
Conroe, TX 77304-3519
Phone (936) 441-2003

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA052582PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Nov 13, 2024 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Nov 13, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Aj Marshall, LLC PastSince May 4, 2012 Accepting new patients

Locations

2236 N Loop 336 W
Conroe, TX 77304
Phone (936) 441-2003

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: shawna.steffan.1@8042.direct.athenahealth.com
  • Direct secure messaging: shawnasteffan@wagho.allscriptsdirect.net

Organizations & group practices 5

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

Hospital & facility affiliations 7

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1134401482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "address_2": "CREDENTIALS OFFICE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-4973",
            "fax_number": "814-726-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK FL 3",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-726-0273",
            "fax_number": "814-726-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFAN",
        "first_name": "SHAWNA",
        "middle_name": "DEANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003320",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052582",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shawnasteffan@wagho.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 W Crescent Park Fl 3",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163652111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "MEAD",
            "middle_name": "DEANNE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.