SHAWN M. WAGSTAFF PA-C
NPI 1033125661
Physician Assistant in San Diego, CA
About Shawn M. Wagstaff Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN M. WAGSTAFF PA-C (NPI 1033125661) is an individual physician assistant in San Diego, California, licensed in California (PA17535) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Shawn M. Wagstaff 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Shawn Wagstaff's NPI number?
The NPI number for Shawn Wagstaff is 1033125661. It was assigned to this individual provider in the NPPES registry on August 1, 2006.
Where is Shawn Wagstaff located?
Shawn Wagstaff practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (619) 471-0320.
What is Shawn Wagstaff's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Shawn Wagstaff enrolled in Medicare?
Yes. Shawn Wagstaff 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.
When was this NPI record last updated?
The NPPES record for Shawn Wagstaff was last updated on March 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Shawn M. Wagstaff, PA-C · NPI 1033125661
Physician Assistant physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1033125661 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA17535 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W ARBOR DR, San Diego, CA 92103-9000
- **Phone:** (619) 471-0320
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** March 12, 2018
- **Other identifiers:** Medicaid PA17535 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1033125661) · Data from the CMS NPPES public registry.