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SHAWNA RENEE CARBONNIERE PA
NPI 1265557060
Physician Assistant - Medical in Prescott, AZ

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
3110 CLEARWATER DR STE B, PRESCOTT, AZ 86305(623) 516-8252(623) 516-8253 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2022, Feb 1, 2021 (2 updates tracked since 2021).

About Shawna Renee Carbonniere Pa NPPES

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

SHAWNA RENEE CARBONNIERE PA (NPI 1265557060) is an individual medical provider in Prescott, Arizona, licensed in Arizona (3516) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1265557060
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHAWNA RENEE CARBONNIERECredential: PA
Location Address3110 CLEARWATER DR STE BPrescott, AZ 86305-7177
Mailing Address5281 N 99th Ave Ste 100Glendale, AZ 85305-2209 · (623) 516-8252 · Fax (623) 516-8253
Phone(623) 516-8252
Fax(623) 516-8253
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 20, 2007
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1265557060 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 AZ · 3516
3110 CLEARWATER DR STE B, Prescott, AZ 86305
Open in Google Maps ↗

Other Names 1

Former Name (1)Shawna Renee Gomez Pa

Accepted Insurance

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

Shawna Renee Carbonniere 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 ID6406936475
PECOS Enrollment IDI20080103000090
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 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.
139 services94 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.
23 services21 patients

Other Providers at the Same Location NPPES 3

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

MR. JAMES ARCHIE RAMAGLINO FNP-C
Nurse Practitioner (Family)
3110 CLEARWATER DR STE B
PRESCOTT, AZ 86305
Yavapai County (623) 516-8252
HELEN BETITO PASLAY FNP-C
Nurse Practitioner (Family)
3110 CLEARWATER DR STE B
PRESCOTT, AZ 86305
Yavapai County (928) 237-9312
LAUREN KATHERINE MILLS AGACNP
Nurse Practitioner
3110 CLEARWATER DR STE B
PRESCOTT, AZ 86305
Yavapai County (623) 516-8252

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 Shawna Carbonniere's NPI number?

The NPI number for Shawna Carbonniere is 1265557060. It was assigned to this individual provider in the NPPES registry on March 20, 2007. The provider is also known as Shawna Renee Gomez PA.

Where is Shawna Carbonniere located?

Shawna Carbonniere practices at 3110 Clearwater Dr Ste B, Prescott, AZ 86305. The listed phone number is (623) 516-8252.

What is Shawna Carbonniere's specialty?

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

Is Shawna Carbonniere enrolled in Medicare?

Yes. Shawna Carbonniere 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.

What insurance does Shawna Carbonniere accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Shawna Carbonniere as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawna Carbonniere was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.