NPIMap

Individual provider Active NPI

Shannon Lee Rynders, PAC

  • Physician Assistant
  • Soldotna, AK
National Provider Identifier
1700824448
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000515A Issued in IN
Practice address
44604 Sterling Hwy Ste D
Soldotna, AK 99669-7962
Phone
(907) 420-0585
Fax
(907) 420-0586
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000515A IN Primary

Addresses

Primary practice location

44604 Sterling Hwy Ste D
Soldotna, AK 99669-7962

Mailing address

44604 Sterling Hwy Ste D
Soldotna, AK 99669-7962
Phone (907) 420-0585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20211119001657 AK Practitioner - Physician Assistant 4183685589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Soldotna IncGroup PAC ID 5698101194, 5 clinicians

Practice addresses (Care Compare)

44009 Sterling Hwy
Suite a
Soldotna, AK 99669-8030
Phone (907) 420-0585

Hospital & facility affiliations

  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10000515AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Healthcare PC CurrentSince Jan 1, 2026 Accepting new patients
Independence Healthcare PC CurrentSince Jan 1, 2026 Accepting new patients
St. Joseph Health System, LLC Past Accepting new patients
Redimed Dekalb LLC Past Accepting new patients
Allied Physicians Inc Physician Assistant Past Accepting new patients

Locations

130 S Willow St
Ste 1
Kenai, AK 99611
Phone (907) 262-2596

289 N Fireweed St
Ste D
Soldotna, AK 99669
Phone (907) 262-6454

Interoperability endpoints

  • Direct secure messaging: shannon.rynders.1@20934.direct.athenahealth.com

Organizations & group practices 7

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1700824448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44604 STERLING HWY STE D",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697962",
            "telephone_number": "907-420-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44604 STERLING HWY STE D",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697962",
            "telephone_number": "907-420-0585",
            "fax_number": "907-420-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNDERS",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000515A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.