1. Home
  2. Directory
  3. New Mexico
  4. Taos
  5. Physician Assistant
  6. NPI Profile

PATRICK KEENAN SHANLEY PA-C
NPI 1033386420
Physician Assistant - Surgical in Taos, NM

Active since May 14, 2008PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1219 GUSDORF RD STE A, TAOS, NM 87571(505) 758-0009(505) 758-8736 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Patrick Keenan Shanley Pa-c NPPES

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

PATRICK KEENAN SHANLEY PA-C (NPI 1033386420) is an individual surgical provider in Taos, New Mexico, licensed in New Mexico (PA2008-0045) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1033386420
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NamePATRICK KEENAN SHANLEYCredential: PA-C
Location Address1219 GUSDORF RD STE ATaos, NM 87571-6499
Mailing Address1397 Weimer RdTaos, NM 87571-6253 · (505) 758-0009 · Fax (505) 758-8736
Phone(505) 758-0009
Fax(505) 758-8736
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 14, 2008
Last NPPES UpdateJune 17, 2016
✔ NPI 1033386420 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 NM · PA2008-0045
1219 GUSDORF RD STE A, Taos, NM 87571
Open in Google Maps ↗

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

Patrick Keenan Shanley 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 ID2163570615
PECOS Enrollment IDI20090511000439
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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
191 services96 patients
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.
161 services91 patients
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.
115 services102 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.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Presbyterian Espanola Hospital

Acute Care Hospitals · Espanola, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320011
Location1010 Spruce StreetEspanola, NM 87532 · Rio Arriba County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 4

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

LUCIANO DE CASTRO RAMIRES MD
Orthopaedic Surgery
1219 GUSDORF RD STE A
TAOS, NM 87571
Taos County (575) 758-0009
MATTHEW PAUL SPITTLER DO
Orthopaedic Surgery
1219 GUSDORF RD STE A
TAOS, NM 87571
Taos County (575) 758-0009
CHRISTOPHER WEBB THOMAS M.S., ATC, OTC
Specialist/Technologist (Athletic Trainer)
1219 GUSDORF RD STE A
TAOS, NM 87571
Taos County (575) 758-0009
DR. SEAN COLLINS MARVIL M.D.
Orthopaedic Surgery
1219 GUSDORF RD STE A
TAOS, NM 87571
Taos County (703) 635-9387

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 Patrick Shanley's NPI number?

The NPI number for Patrick Shanley is 1033386420. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Patrick Shanley located?

Patrick Shanley practices at 1219 Gusdorf Rd Ste A, Taos, NM 87571. The listed phone number is (505) 758-0009.

What is Patrick Shanley's specialty?

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

Is Patrick Shanley enrolled in Medicare?

Yes. Patrick Shanley 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 Patrick Shanley affiliated with any hospitals?

According to CMS data, Patrick Shanley is affiliated with Christus St Vincent Regional Medical Center and Presbyterian Espanola Hospital.

When was this NPI record last updated?

The NPPES record for Patrick Shanley was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.