Active NPI
Austin Shandley, PA
- Physician Assistant
- Kansas City, MO
National Provider Identifier
1881085066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 00000000
- Practice address
- 8656 N Ambassador Dr
Kansas City, MO 64154-2558 - Phone
- (816) 584-8100
- Fax
- (816) 584-8106
- NPI assigned
- Feb 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00000000 | MO | Primary |
Addresses
Primary practice location
8656 N Ambassador Dr
Kansas City, MO 64154-2558
Mailing address
1419 Village Dr
Saint Joseph, MO 64506-2459
Phone (816) 364-1507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4400 Broadway Blvd
Suite 400
Kansas City, MO 64111-3342
Phone (816) 584-8100
8656 N Ambassador Dr
Kansas City, MO 64154-2558
Phone (816) 584-8100
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison County Community Hospital District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- MOHS-Micrographic Surgery Physician
- Kansas City, MO
- NPI 1669670964
-
dba Harrison County Community Hospital
- Critical Access Hospital
- Bethany, MO
- NPI 1528062569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1881085066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 VILLAGE DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062459",
"telephone_number": "816-364-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8656 N AMBASSADOR DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641542558",
"telephone_number": "816-584-8100",
"fax_number": "816-584-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANDLEY",
"first_name": "AUSTIN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-10",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "00000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.