SHANNON MEDLEY P.A.-C
NPI 1376705806
Physician Assistant - Medical in Edmond, OK

Q: What is Shannon Medley's NPI number?

The NPI number for Shannon Medley is 1376705806. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Q: What is Shannon Medley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Medley was last updated on November 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment

1208 W 15TH ST, EDMOND, OK 73013(405) 340-2100(405) 340-1184 Get Directions Write a Review

NPPES record last updated: November 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Medley P.a.-c NPPES

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

SHANNON MEDLEY P.A.-C (NPI 1376705806) is an individual medical provider in Edmond, Oklahoma, licensed in Oklahoma (1614) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2006).

NPPES Registry Identity

NPI1376705806

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSHANNON MEDLEYCredential: P.A.-C

Location Address1208 W 15TH STEdmond, OK 73013-3001

Mailing Address530 N Monte Vista, Suite AAda, OK 74820-4675 · (580) 436-7101 · Fax (580) 436-4447

Phone(405) 340-2100

Fax(405) 340-1184

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2006

Enumeration DateJune 26, 2008

Last NPPES UpdateNovember 26, 2014

✔ NPI 1376705806 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 OK · 1614

1208 W 15TH ST, Edmond, OK 73013

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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

Shannon Medley P.a.-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 ID9133012529

PECOS Enrollment IDI20100122000219

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.

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.

451 services264 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

69 services15 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.

27 services26 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

24 services22 patients

Other Providers at the Same Location NPPES 15

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

DR. FRANKLIN CLEO DAVIS MD

Family Medicine