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SHANE MARTIN WIBLE MPAS, PA-C
NPI 1013199330
Physician Assistant in Fishkill, NY

Active since November 28, 2007PECOS EnrolledAccepts Medicare Assignment
60 MERRITT BLVD, SUITE 106, FISHKILL, NY 12524(845) 905-5090 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Martin Wible Mpas, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE MARTIN WIBLE MPAS, PA-C (NPI 1013199330) is an individual physician assistant in Fishkill, New York, licensed in Utah (6792106-1206) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Ellenville Regional Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1013199330
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHANE MARTIN WIBLECredential: MPAS, PA-C
Location Address60 MERRITT BLVD, SUITE 106Fishkill, NY 12524-2990
Mailing Address582 E Browning AveSalt Lake City, UT 84105-2025 · (650) 619-8618
Phone(845) 905-5090
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 28, 2007
Last NPPES UpdateJuly 24, 2013
✔ NPI 1013199330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in UT · 6792106-1206✔ Licensed in NM · PA2013-0029
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
60 MERRITT BLVD, Fishkill, NY 12524
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Other Identifiers 1

Medicare PINBD210ZNV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shane Martin Wible Mpas, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648356659
PECOS Enrollment IDI20131209001280
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
93 services88 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
93 services89 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
70 services64 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
33 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ellenville Regional Hospital

Critical Access Hospitals · Ellenville, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331310
Location10 Healthy WayEllenville, NY 12428 · Ulster County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12524 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ASHLEY MOUSTAKAS PA-C
Physician Assistant (Medical)
60 MERRITT BLVD
FISHKILL, NY 12524
Dutchess County (845) 765-4990
ANDREW PIETRIS PA-C
Physician Assistant (Medical)
60 MERRITT BLVD, SUITE 106
FISHKILL, NY 12524
Dutchess County (845) 202-7182
JOSEPH BROOKS AGNPC
Nurse Practitioner
60 MERRITT BLVD
FISHKILL, NY 12524
Dutchess County (845) 765-4990
DR. VINCENT SAVATH MD
Family Medicine
60 MERRITT BLVD
FISHKILL, NY 12524
Dutchess County (914) 241-1050
JOSE R FONTANEZ M.D.
Internal Medicine
60 MERRITT BLVD
FISHKILL, NY 12524
Dutchess County (914) 241-1050
THOMAS JOSEPH GUZZARDI M.D.
Internal Medicine (Nephrology)
60 MERRITT BLVD
FISHKILL, NY 12524
Dutchess County (914) 241-1050
OPTUM MEDICAL CARE, P.C.
Durable Medical Equipment & Medical Supplies
60 MERRITT BLVD
FISHKILL, NY 12524
Dutchess County (845) 765-4990
VEENA SANKAPPANAVAR GANGASANI M.D.
Pediatrics
60 MERRITT BLVD
FISHKILL, NY 12524
Dutchess County (845) 231-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Wible's NPI number?

The NPI number for Shane Wible is 1013199330. It was assigned to this individual provider in the NPPES registry on November 28, 2007.

Where is Shane Wible located?

Shane Wible practices at 60 Merritt Blvd Suite 106, Fishkill, NY 12524. The listed phone number is (845) 905-5090.

What is Shane Wible's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shane Wible enrolled in Medicare?

Yes. Shane Wible is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shane Wible affiliated with any hospitals?

According to CMS data, Shane Wible is affiliated with Ellenville Regional Hospital.

When was this NPI record last updated?

The NPPES record for Shane Wible was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.