Shannon M. Hogan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2251 Issued in NV

Practice address

13555 W McDowell Rd
Suite 101
Goodyear, AZ 85338-2624

Phone

(623) 881-9238

Fax

(623) 512-4253

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, NV2 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

Merit-based Incentive Payment System (MIPS)

Final score

81.64 of 100Reported as group

Quality

74.27

Improvement activities

40

Cost

63.66

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1003090879

  UT

  Medicare reassignment
• Center for Physical Medicine & Rehabilitation P C

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1306959218
  NPD (past)
• Goodyear Urgent Care LLC

  • Urgent Care Clinic/Center
  • Goodyear, AZ
  • NPI 1851566285
  NPD (past)
• Med 97 LLC

  dba Advanced Urgent Care

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1487631883
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1245876705
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141
  NPD (past)
• True North Health Navigation LLC

  dba Dispatch Health

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801865845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD",
            "address_2": "SUITE 101",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382624",
            "telephone_number": "623-881-9238",
            "fax_number": "623-512-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD",
            "address_2": "SUITE 101",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382624",
            "telephone_number": "623-881-9238",
            "fax_number": "623-512-4253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3841 W Charleston Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021858",
            "country_code": "US",
            "telephone_number": "702-848-4443",
            "fax_number": "702-805-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "SHANNON",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-03-07",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1509",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Hobson, ATC
• Christine N Hockman, MS, OTR/L
• Shanieka Nashae Hodge
• Christine Dori Hoffman, NP
• Christine Marie Hogan
• Leslie Holland
• Jamond Holloway
• Tyrel Holloway
• Amy Marie Homan, CNP
• Home Care Services of the Valley (Touching Hearts at Home)

• Physician Assistant in Goodyear, AZ
• Providers in Goodyear, 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 7, 2023; 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.