Active NPI
Sylvia Darlene Shafer, PA C
- Physician Assistant
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0340
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913783 | Medicaid | AZ |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5402 | AZ | MD | Occupational Therapist |
| 0340 | SD | MD | Physician Assistant |
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.