NPIMap

Individual provider Active NPI

Shawn L Kibe, PAC

  • Medical Physician Assistant
  • State College, PA
National Provider Identifier
1598860843
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002874L Issued in PA
Practice address
101 Regent CT
State College, PA 16801-7965
Phone
(814) 231-2101
Fax
(814) 231-8569
NPI assigned
Sep 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002874L PA Primary

Addresses

Primary practice location

101 Regent CT
State College, PA 16801-7965

Mailing address

101 Regent CT
State College, PA 16801-7965
Phone (814) 231-2101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100729000861 PA Practitioner - Physician Assistant 0244363000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
JS Weill Medical College, Cornell University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

101 Regent CT
State College, PA 16801-7965
Phone (814) 231-2101

3000 Fairway Dr
Altoona, PA 16602-4472
Phone (814) 942-1166

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

96 Kish Rd
Reedsville, PA 17084-8943
Phone (814) 231-2101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.62 of 100Reported as group
Quality
76.03
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA002874LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopedics Center, LTD CurrentSince Dec 15, 2000 Accepting new patients
University Orthopedics Center, LTD CurrentSince Dec 15, 2000 Accepting new patients
Herbert L Kunkle MD PC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

96 Kish Rd
Reedsville, PA 17084
Phone (717) 667-7720

101 Regent Ct
State College, PA 16801
Phone (814) 231-1504

101 Regent Ct
#L
State College, PA 16801

Interoperability endpoints

  • Direct secure messaging: shawn.kibepac.p1@direct.uoc.nextgenshare.com

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598860843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 REGENT CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017965",
            "telephone_number": "814-231-2101",
            "fax_number": "814-231-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 REGENT CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017965",
            "telephone_number": "814-231-2101",
            "fax_number": "814-231-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBE",
        "first_name": "SHAWN",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002874L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.