Individual provider Active NPI

Shelby Kathryn Springer, PA-C

  • Physician Assistant
  • Eureka, CA
National Provider Identifier
1457952871
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA59008 Issued in CA
Practice address
2350 Buhne St
Eureka, CA 95501-3238
Phone
(707) 798-6161
NPI assigned
Nov 3, 2020
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA59008 CA Primary
Physician Assistant 363A00000X 8214 AZ

Addresses

Primary practice location

2350 Buhne St
Eureka, CA 95501-3238

Mailing address

8222 S 48TH St Ste 200
Phoenix, AZ 85044-5303
Phone (325) 672-7055

Other practice location 1

8222 S 48th St Ste 200
Phoenix, AZ 85044-5303
Phone (325) 672-7055

Other identifiers 3

IdentifierTypeStateIssuer
8214OtherAZSTATE LICENSE
PA59008OtherCASTATE LICENSE
083435MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210601001031 AZ Practitioner - Physician Assistant 4981003696 Reassigns benefits to 2 organizations
I20240604003548 CA Practitioner - Physician Assistant 4981003696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connectionsaz LLCGroup PAC ID 3072858745, 39 clinicians

Practice addresses (Care Compare)

1201 S 7TH Ave
Phoenix, AZ 85007-4075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59008CAMDPharmacist
PA59008CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Healthcare, PLLC CurrentSince Mar 24, 2025 Accepting new patients
Connectionsaz, LLC CurrentSince Jul 18, 2022 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Jan 14, 2021 Accepting new patients
Neighborhood Healthcare CurrentSince Apr 24, 2024 Accepting new patients
Neighborhood Healthcare CurrentSince Apr 24, 2024 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Jan 14, 2021 Accepting new patients
Connectionsaz, LLC CurrentSince Jul 18, 2022 Accepting new patients

Locations

312 N Alma School Rd
Ste 11
Chandler, AZ 85224
Phone (602) 649-3008

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

1201 S 7th Ave
Ste 150A
Phoenix, AZ 85007

20440 N 27th Ave
Phoenix, AZ 85027

2390 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (703) 543-9948

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

8222 S 48th St
Ste 200
Phoenix, AZ 85044
Phone (520) 640-7189

9015 N 3rd St
Phoenix, AZ 85020

9201 N 5th St
Phoenix, AZ 85020
Phone (602) 331-5792

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Interoperability endpoints

  • Direct secure messaging: shelby.springer.1@28334.direct.athenahealth.com
  • Direct secure messaging: shelby.springer@mmconnections.contexture.medalliesmail.com
  • Direct secure messaging: sspringer632486@direct.ochin.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1457952871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 S 48TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445303",
            "telephone_number": "325-672-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BUHNE ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013238",
            "telephone_number": "707-798-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8222 S 48th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850445303",
            "country_code": "US",
            "telephone_number": "325-672-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "SHELBY",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59008",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8214",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA59008",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083435",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.