Individual provider Active NPI

Shawncey McPherson, PA-C

  • Physician Assistant
  • Chino Valley, AZ
National Provider Identifier
1831546043
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7384 Issued in AZ
Practice address
87 State Route 89
Chino Valley, AZ 86323
Phone
(928) 404-1488
Fax
(866) 232-8580
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 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 7384 AZ Primary

Addresses

Primary practice location

87 State Route 89
Chino Valley, AZ 86323

Mailing address

87 State Route 89
Chino Valley, AZ 86323
Phone (928) 404-1488

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190605002654 AZ Practitioner - Physician Assistant 7911299466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

2035 Mesquite Ave
Lake Havasu City, AZ 86403-5894
Phone 92845319705894

3151 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 458-7583

3552 W Baseline Rd
Suite 140
Laveen, AZ 85339-3042
Phone (602) 635-6941

450 S Willard St
Suite 103
Cottonwood, AZ 86326-6744
Phone (928) 634-9573

560 N Camino Mercado
Suite 7
Casa Grande, AZ 85122-5759
Phone (520) 836-5538

743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone (928) 458-7563

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Prescott, AZ, CCN 037030
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7384AZMDPediatric Dentist
53411CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients
Moblie Health Care Solutions, LLC PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 4

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1831546043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 STATE ROUTE 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "86323",
            "telephone_number": "928-404-1488",
            "fax_number": "866-232-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 STATE ROUTE 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "86323",
            "telephone_number": "928-404-1488",
            "fax_number": "866-232-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "SHAWNCEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

Verify at the official NPI Registry.