Individual provider Active NPI

Sylvia Darlene Shafer, PA C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1972572147
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0340 Issued in SD
Practice address
15223 N 87TH St
#110
Scottsdale, AZ 85260-2639
Phone
(480) 682-4100
Fax
(480) 304-3553
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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 0340 SD Primary
Medical Physician Assistant 363AM0700X 5402 AZ

Addresses

Primary practice location

15223 N 87TH St
#110
Scottsdale, AZ 85260-2639

Mailing address

15223 N 87TH St
#110
Scottsdale, AZ 85260-2639
Phone (480) 682-4100

Other identifiers 1

IdentifierTypeStateIssuer
913783MedicaidAZ

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
I20151029000981 AZ Practitioner - Physician Assistant 9335154384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Dakota School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4813
Phone (520) 876-0800

18773 S Nogales Hwy
Suite 125
Green Valley, AZ 85614-0403
Phone (520) 771-0316

1895 W Valencia Rd
Suite 101
Tucson, AZ 85746-6555
Phone (520) 576-5104

2460 N Swan Rd
Suite 140
Tucson, AZ 85712-5703
Phone (520) 441-5405

2510 E Broadway Blvd
Tucson, AZ 85716-5304
Phone (520) 232-2072

4280 N Oracle Rd
Suite 100
Tucson, AZ 85705-2101
Phone (520) 887-0095

501 N Park Ave
Suite 110
Tucson, AZ 85719-5034
Phone (520) 284-9200

5369 S Calle Santa Cruz
Suite 145
Tucson, AZ 85706-3963
Phone (520) 573-7500

7850 N Silverbell Rd
Suite 132
Tucson, AZ 85743-8219
Phone (520) 407-5884

9525 E Old Spanish TRL
Suite 101
Tucson, AZ 85748-6630
Phone (520) 731-3666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5402AZMDOccupational Therapist
0340SDMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: sylvia.shaferpac.p1@direct.nextcare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1972572147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15223 N 87TH ST",
            "address_2": "#110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602639",
            "telephone_number": "480-682-4100",
            "fax_number": "480-304-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15223 N 87TH ST",
            "address_2": "#110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602639",
            "telephone_number": "480-682-4100",
            "fax_number": "480-304-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "SYLVIA",
        "middle_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0340",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913783",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.