MRS. NICOLE WARNER SHAHA PA-C
NPI 1477078764
Physician Assistant - Surgical in Mesa, AZ
About Mrs. Nicole Warner Shaha Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE WARNER SHAHA PA-C (NPI 1477078764) is an individual surgical provider in Mesa, Arizona, licensed in Arizona (6826) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 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
Mrs. Nicole Warner Shaha 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MESA, AZ 85204
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 Nicole Shaha's NPI number?
The NPI number for Nicole Shaha is 1477078764. It was assigned to this individual provider in the NPPES registry on August 7, 2017. The provider is also known as Nicole Warner Pa-C.
Where is Nicole Shaha located?
Nicole Shaha practices at 2545 E Intrepid Ave, Mesa, AZ 85204. The listed phone number is (208) 716-2350.
What is Nicole Shaha's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Nicole Shaha enrolled in Medicare?
Yes. Nicole Shaha 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 Nicole Shaha was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Mrs. Nicole Warner Shaha, PA-C · NPI 1477078764
Surgical physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since August 7, 2017.
## Identity
- **NPI:** 1477078764 (Entity type: Individual)
- **Enumerated:** August 7, 2017
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 6826 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2545 E INTREPID AVE, Mesa, AZ 85204-7028
- **Phone:** (208) 716-2350
## 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 2017
## Record status
- **NPPES last updated:** September 17, 2024
- **Other identifiers:** Medicaid 1477078764 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1477078764) · Data from the CMS NPPES public registry.