SHAWN FADUM PA
NPI 1013374271
Physician Assistant - Medical in Ardmore, OK

Q: What is Shawn Fadum's NPI number?

The NPI number for Shawn Fadum is 1013374271. It was assigned to this individual provider in the NPPES registry on January 19, 2016.

Q: What is Shawn Fadum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Fadum was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 19, 2016PECOS Enrolled

1104 WALNUT DR, ARDMORE, OK 73401(580) 226-0543(580) 226-2284 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 17, 2017 and 1 more (4 updates tracked since 2016).

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About Shawn Fadum Pa NPPES

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

SHAWN FADUM PA (NPI 1013374271) is an individual medical provider in Ardmore, Oklahoma, licensed in Oklahoma (2640) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and maintains a secondary practice location in Ardmore.

NPPES Registry Identity

NPI1013374271

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSHAWN FADUMCredential: PA

Location Address1104 WALNUT DRArdmore, OK 73401-2353

Mailing Address1104 Walnut DrArdmore, OK 73401-2353 · (580) 226-0543 · Fax (580) 226-2284

Phone(580) 226-0543

Fax(580) 226-2284

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 19, 2016

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1013374271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OK · 2640

1104 WALNUT DR, Ardmore, OK 73401

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Secondary Practice Location 1

Location 11306 12th Ave NWArdmore, OK 73401-1285 · Phone (580) 223-6004

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn Fadum Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002188877

PECOS Enrollment IDI20170815001722

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

197 services185 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

24 services24 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

22 services11 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370013

Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 18

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

LAUREN VE BATTLES

Case Manager/Care Coordinator