MS. CHONDRA ELISE SHANKS PA-C
NPI 1467762179
Physician Assistant in San Bernardino, CA

Q: What is Chondra Shanks's NPI number?

The NPI number for Chondra Shanks is 1467762179. It was assigned to this individual provider in the NPPES registry on October 15, 2010.

Q: What is Chondra Shanks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chondra Shanks was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 October 15, 2010PECOS Enrolled

665 N D ST, SAN BERNARDINO, CA 92401(909) 708-8158 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Chondra Elise Shanks Pa-c NPPES

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

MS. CHONDRA ELISE SHANKS PA-C (NPI 1467762179) is an individual physician assistant in San Bernardino, California, licensed in California (21231) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467762179

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. CHONDRA ELISE SHANKSCredential: PA-C

Location Address665 N D STSan Bernardino, CA 92401-1109

Mailing Address665 N D StSan Bernardino, CA 92401-1109 · (909) 708-8158

Phone(909) 708-8158

Sole ProprietorNo

Enumeration DateOctober 15, 2010

Last NPPES UpdateMay 8, 2013

✔ NPI 1467762179 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 · 21231

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.

665 N D ST, San Bernardino, CA 92401

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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 (PECOS)

Ms. Chondra Elise Shanks Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92401 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

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