Andrew Shetka, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

105 1St St SE
New Prague, MN 56071-2401

Phone

(952) 212-8192

NPI assigned

Jan 8, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairbanks Partners LLCGroup PAC ID 8820303621, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: andrew.shetka@hca8.eclinicaldirectplus.com

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.

• Fairbanks Partners LLC

  • Neurological Surgery Physician
  • Orlando, FL
  • NPI 1457735326
  Medicare reassignment Care Compare group
• Shetka Ventures, LLC

  • In Home Supportive Care Agency
  • Orlando, FL
  • NPI 1104640267
  NPD Authorized official
• Fairbanks Partners LLC

  • Neurological Surgery Physician
  • Celebration, FL
  • NPI 1003786948
  NPD
• Orlando Neurosurgery, P.a.

  • Neurological Surgery Physician
  • Winter Park, FL
  • NPI 1609983113
  NPD (past)

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

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1942666748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 1ST ST SE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 1ST ST SE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712401",
            "telephone_number": "952-212-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETKA",
        "first_name": "ANDREW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonny Salim, MD
• Bindhu Sankar
• Sarah L Page Chiropractic LLC
• Madison Marie Schirmer, OT
• Hannah Seifert
• Carla Simon, OT
• Rachel Marie Sladek, DNP, FNP-C
• South Metro Theraplay, LLC
• Michael Brennan Stuart
• Ann Elizabeth Studer, CCC SLP

• Physician Assistant in New Prague, MN
• Providers in New Prague, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.