ELMIRA MIRA SHISHIM PA
NPI 1174777536
Physician Assistant - Medical in Ventura, CA

Active since November 12, 2008PECOS EnrolledAccepts Medicare Assignment
300 HILLMONT AVE, VENTURA, CA 93003(805) 652-6000 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elmira Mira Shishim Pa NPPES

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

ELMIRA MIRA SHISHIM PA (NPI 1174777536) is an individual medical provider in Ventura, California, licensed in California (PA19995) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ventura, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1174777536
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELMIRA MIRA SHISHIMCredential: PA
Location Address300 HILLMONT AVEVentura, CA 93003-1651
Mailing Address200 S Wells Rd, Suite 200Ventura, CA 93004-1377 · (805) 659-1740 · Fax (805) 659-9959
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 12, 2008
Last NPPES UpdateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
NPI 1174777536 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 CA · PA19995
300 HILLMONT AVE, Ventura, CA 93003

Secondary Practice Location 1

Location 1200 S Wells Rd, Suite 200Ventura, CA 93004-1377 · Phone (805) 659-1740 · Fax (805) 659-9959

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

Elmira Mira Shishim Pa 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 ID3971650839
PECOS Enrollment IDI20090409000508
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 12

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.
96 services69 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
88 services23 patients
Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
86 services22 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
66 services51 patients
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784
This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.
48 services25 patients
Study of rectum sensitivity and function 91122
This procedure examines the rectum's sensitivity and functionality. It involves a small, soft balloon inserted into the rectum and inflated to various degrees. The goal is to assess how well your rectum can sense and respond to different volumes. It's a crucial test for diagnosing certain digestive issues.
42 services21 patients

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.

Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Nurse Practitioner (Family)
300 HILLMONT AVE, BLDG 340, STE 401
VENTURA, CA 93003
Counselor (Mental Health)
300 HILLMONT AVE
VENTURA, CA 93003
Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Registered Nurse
300 HILLMONT AVE
VENTURA, CA 93003
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE
VENTURA, CA 93003
Internal Medicine (Hematology & Oncology)
300 HILLMONT AVE, BLDG 340, STE 501
VENTURA, CA 93003
Pathology (Anatomic Pathology & Clinical Pathology)
300 HILLMONT AVE
VENTURA, CA 93003

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 Elmira Shishim's NPI number?

The NPI number for Elmira Shishim is 1174777536. It was assigned to this individual provider in the NPPES registry on November 12, 2008.

Where is Elmira Shishim located?

Elmira Shishim practices at 300 Hillmont Ave, Ventura, CA 93003. The listed phone number is (805) 652-6000.

What is Elmira Shishim's specialty?

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

Is Elmira Shishim enrolled in Medicare?

Yes. Elmira Shishim 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 Elmira Shishim was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.