MRS. SHANNON WATKINS PA-C
NPI 1013491968
Physician Assistant - Surgical in Phoenix, AZ

Q: What is Shannon Watkins's NPI number?

The NPI number for Shannon Watkins is 1013491968. It was assigned to this individual provider in the NPPES registry on September 17, 2018. The provider is also known as Shannon Leipus.

Q: What is Shannon Watkins's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Watkins was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 17, 2018PECOS EnrolledAccepts Medicare Assignment

370 E VIRGINIA AVE STE 100, PHOENIX, AZ 85004(602) 258-4788 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2023, Aug 9, 2023, Sep 17, 2018 (3 updates tracked since 2018).

On this page

About Mrs. Shannon Watkins Pa-c NPPES

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

MRS. SHANNON WATKINS PA-C (NPI 1013491968) is an individual surgical provider in Phoenix, Arizona, licensed in Arizona (7230) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013491968

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. SHANNON WATKINSCredential: PA-C

Location Address370 E VIRGINIA AVE STE 100Phoenix, AZ 85004-1254

Mailing Address20808 N 27th Ave Apt 2030Phoenix, AZ 85027-3235

Phone(602) 258-4788

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 17, 2018

Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration

NPPES CertifiedAugust 9, 2023

✔ NPI 1013491968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 7230

370 E VIRGINIA AVE STE 100, Phoenix, AZ 85004

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Other Names 1

Former Name (1)Shannon Leipus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, UnitedHealthcare.Insurance ›

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

Mrs. Shannon Watkins 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 ID2860736410

PECOS Enrollment IDI20181207001954

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 2

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Other Providers at the Same Location NPPES 13

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

STEVEN VANCE HARRISON III PA-C

Physician Assistant (Surgical)