Individual provider Active NPI

Shawn Fronterhouse, PA-C

  • Physician Assistant
  • Saint Helena, CA
National Provider Identifier
1801980271
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63776 Issued in CA
Practice address
821 Saint Helena Hwy S Ste 1
Saint Helena, CA 94574-2266
Phone
(707) 967-7551
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 PA63776 CA Primary

Addresses

Primary practice location

821 Saint Helena Hwy S Ste 1
Saint Helena, CA 94574-2266

Mailing address

8651 Franz Valley School Rd
Calistoga, CA 94515-9556
Phone (505) 301-4939

Other identifiers 1

IdentifierTypeStateIssuer
000G2346MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, 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
I20100113000915 NM Practitioner - Physician Assistant 9830230762 Reassigns benefits to 2 organizations
I20240911003857 CA Practitioner - Physician Assistant 9830230762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

821 S Saint Helena Hwy
Suite 2
Saint Helena, CA 94574-2266
Phone (707) 968-9232

913 Washington St
Calistoga, CA 94515-1433

Hospital & facility affiliations

  • Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63776CAMDDentist
PA63776CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Aug 16, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 16, 2024 Accepting new patients

Locations

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

821 Saint Helena Hwy S
Ste 1
Saint Helena, CA 94574
Phone (707) 967-7551

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1801980271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 FRANZ VALLEY SCHOOL RD",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945159556",
            "telephone_number": "505-301-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SAINT HELENA HWY S STE 1",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945742266",
            "telephone_number": "707-967-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONTERHOUSE",
        "first_name": "SHAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G2346",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.