Individual provider Active NPI

Shannon Postle, PA-C

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1962081349
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2702 Issued in NV
Practice address
5575 Kietzke LN
Reno, NV 89511-2290
Phone
(775) 355-5010
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2702 NV Primary
Physician Assistant 363A00000X 4499 TN

Addresses

Primary practice location

5575 Kietzke LN
Reno, NV 89511-2290

Mailing address

5575 Kietzke LN
Reno, NV 89511-2290
Phone (775) 355-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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

Enrollment IDStateProvider typePAC IDDetails
I20210413000323 TN Practitioner - Physician Assistant 9638587678 Reassigns benefits to 1 organization
I20260507001857 NV Practitioner - Physician Assistant 9638587678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Urgent Care Network LLCGroup PAC ID 0941611636, 15 clinicians

Practice addresses (Care Compare)

5575 Kietzke LN
Reno, NV 89511-2290
Phone (775) 502-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4499TNMDProfessional Counselor
2702NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 29, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 29, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1962081349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112290",
            "telephone_number": "775-355-5010",
            "fax_number": "775-851-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112290",
            "telephone_number": "775-355-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTLE",
        "first_name": "SHANNON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "2702",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.