Shanna R Clingingsmith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5309 Issued in AZ

Practice address

4365 E Pecos Rd BLDG 14
Ste 134
Gilbert, AZ 85295-7875

Phone

(480) 840-9155

Fax

(480) 840-9320

NPI assigned

Nov 27, 2012

Last updated

Mar 25, 2016By the provider in NPPES

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 AZ

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4

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.

• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  Medicare reassignment Care Compare group
• Allen Family Medicine PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1356614176
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health at Home, LLC

  • Home Health Agency
  • Chandler, AZ
  • NPI 1831678218
  Care Compare affiliation

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1467796748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD BLDG 14",
            "address_2": "STE 134",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957875",
            "telephone_number": "480-840-9155",
            "fax_number": "480-840-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD BLDG 14",
            "address_2": "STE 134",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957875",
            "telephone_number": "480-840-9155",
            "fax_number": "480-840-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGINGSMITH",
        "first_name": "SHANNA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearwaves Counseling
• Gabrielle Clements, MA, LAC
• Leslie Clements, PT
• Cline Foot and Ankle Consultants PLLC
• Mathew Cline
• Mary Angela Clouse, FNP-BC
• Carlyn Brooke Coates, PA-C
• Victoria Elizabeth Coblentz
• Daniela Cocco, MD
• Donald Joseph Cochran, HIS

• Physician Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.