MR. SHANE M. TSUBAKI PA-C
NPI 1336309384
Physician Assistant in Blaine, MN
About Mr. Shane M. Tsubaki Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHANE M. TSUBAKI PA-C (NPI 1336309384) is an individual physician assistant in Blaine, Minnesota and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Names 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
Mr. Shane M. Tsubaki 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
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 55449 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLAINE, MN 55449
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 Shane Tsubaki's NPI number?
The NPI number for Shane Tsubaki is 1336309384. It was assigned to this individual provider in the NPPES registry on June 12, 2008. The provider is also known as Mr. Shane M. Yoshimoto Pa-C.
Where is Shane Tsubaki located?
Shane Tsubaki practices at 1500 109th Ave NE, Blaine, MN 55449. The listed phone number is (866) 389-2727.
What is Shane Tsubaki's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Shane Tsubaki enrolled in Medicare?
Yes. Shane Tsubaki 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 Shane Tsubaki was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Shane M. Tsubaki, PA-C · NPI 1336309384
Physician Assistant physician in Blaine, Minnesota. Individual provider, active in the CMS NPPES registry since June 12, 2008.
## Identity
- **NPI:** 1336309384 (Entity type: Individual)
- **Enumerated:** June 12, 2008
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 109TH AVE NE, Blaine, MN 55449-4670
- **Phone:** (866) 389-2727
## 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 2008
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336309384) · Data from the CMS NPPES public registry.