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SHANNON KUETTEL PA-C
NPI 1124544051
Physician Assistant - Medical in Glendale, AZ

Active since August 22, 2017PECOS Enrolled
6320 W UNION HILLS DR STE A180, GLENDALE, AZ 85308(623) 748-8300(623) 748-8314 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Kuettel Pa-c NPPES

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

SHANNON KUETTEL PA-C (NPI 1124544051) is an individual medical provider in Glendale, Arizona and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124544051
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON KUETTELCredential: PA-C
Location Address6320 W UNION HILLS DR STE A180Glendale, AZ 85308-7153
Mailing Address4700 N 16th St Apt 235Phoenix, AZ 85016-4662 · (612) 325-2022
Phone(623) 748-8300
Fax(623) 748-8314
Sole ProprietorNo
Enumeration DateAugust 22, 2017
✔ NPI 1124544051 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
6320 W UNION HILLS DR STE A180, Glendale, AZ 85308
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Other Names 1

Former Name (1)Shannon Olson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Kuettel Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

CHRISTINE HARTER MD PC
Internal Medicine
6320 W UNION HILLS DR STE A180
GLENDALE, AZ 85308
Maricopa County (623) 748-8300

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 Shannon Kuettel's NPI number?

The NPI number for Shannon Kuettel is 1124544051. It was assigned to this individual provider in the NPPES registry on August 22, 2017. The provider is also known as Shannon Olson.

Where is Shannon Kuettel located?

Shannon Kuettel practices at 6320 W Union Hills Dr Ste A180, Glendale, AZ 85308. The listed phone number is (623) 748-8300.

What is Shannon Kuettel's specialty?

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

Is Shannon Kuettel enrolled in Medicare?

Yes. Shannon Kuettel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Kuettel was last updated on August 22, 2017. 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.