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SHAWN M BAISLEY PA-C
NPI 1376936120
Physician Assistant in San Diego, CA

Active since March 17, 2015PECOS EnrolledAccepts Medicare Assignment
3544 30TH ST, SAN DIEGO, CA 92104(619) 515-2424 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shawn M Baisley Pa-c NPPES

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

SHAWN M BAISLEY PA-C (NPI 1376936120) is an individual physician assistant in San Diego, California, licensed in California (52347) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376936120
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHAWN M BAISLEYCredential: PA-C
Location Address3544 30TH STSan Diego, CA 92104-4120
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300
Phone(619) 515-2424
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 17, 2015
Last NPPES UpdateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
✔ NPI 1376936120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 52347
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3544 30TH ST, San Diego, CA 92104
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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

Shawn M Baisley 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.

PECOS PAC ID3072833813
PECOS Enrollment IDI20150519002532
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LUIS FITCH
Social Worker
3544 30TH ST
SAN DIEGO, CA 92104
San Diego County (619) 515-2587
FAMILY HEALTH CENTERS OF SAN DIEGO
Clinic/Center (Federally Qualified Health Center (FQHC))
3544 30TH ST
SAN DIEGO, CA 92104
San Diego County (619) 515-2300
JESSICA RAY NUNNALLY
Nurse Practitioner (Family)
3544 30TH ST
SAN DIEGO, CA 92104
San Diego County (619) 515-2424
TSUH-YIN CHEN MD
Internal Medicine
3544 30TH ST
SAN DIEGO, CA 92104
San Diego County (619) 515-2300
KEVIN EDWARD CRADIC RAC
Counselor (Addiction (Substance Use Disorder))
3544 30TH ST
SAN DIEGO, CA 92104
San Diego County (619) 515-2424
MIRTHA MYREYA GOMEZ DDS
Dentist
3544 30TH ST
SAN DIEGO, CA 92104
San Diego County (619) 515-2424
MARTHA G BENITEZ DO
Internal Medicine
3544 30TH ST
SAN DIEGO, CA 92104
San Diego County (619) 515-2424
KELIE MARIE DARBOUZE LCSW
Social Worker (Clinical)
3544 30TH ST
SAN DIEGO, CA 92104
San Diego County (619) 515-2424

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 Shawn Baisley's NPI number?

The NPI number for Shawn Baisley is 1376936120. It was assigned to this individual provider in the NPPES registry on March 17, 2015.

Where is Shawn Baisley located?

Shawn Baisley practices at 3544 30th St, San Diego, CA 92104. The listed phone number is (619) 515-2424.

What is Shawn Baisley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shawn Baisley enrolled in Medicare?

Yes. Shawn Baisley 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 Shawn Baisley was last updated on October 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.