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NPI · 1114336120 · NPPES-sourced

Shelby Wilson PA-C

ActivePhysician Assistant
NPI Number
1114336120
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(623) 398-8554
License AZ · 5768
Last Updated
Enumerated
Primary practice addressAZ · 85308-1490
18205 N 51st Ave, Suite 129Glendale, AZ 85308-1490
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About this NPIWhat this record shows.

NPI 1114336120 is registered to Shelby Wilson PA-C, a Physician Assistant practising at 18205 N 51st Ave, Suite 129 in Glendale, Arizona. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Shelby Wilson PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2014.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Shelby Wilson PA-C accepts. To confirm in-network status with your specific health plan, contact Shelby Wilson PA-C directly at (623) 398-8554.

Frequently asked

Yes. NPI 1114336120 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (623) 398-8554.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Shelby Wilson PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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