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DOUGLAS EUGENE SHAFFER PAC
NPI 1639225055
Physician Assistant - Medical in Farmington, NM

Active since January 26, 2007PECOS Enrolled
3451 N BUTLER AVE, FARMINGTON, NM 87401(505) 566-1915(505) 566-1918 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Eugene Shaffer Pac NPPES

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

DOUGLAS EUGENE SHAFFER PAC (NPI 1639225055) is an individual medical provider in Farmington, New Mexico, licensed in New Mexico (PA20050038NM) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639225055
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDOUGLAS EUGENE SHAFFERCredential: PAC
Location Address3451 N BUTLER AVEFarmington, NM 87401-2357
Mailing Address3451 N Butler AveFarmington, NM 87401-2357 · (505) 566-1915 · Fax (505) 566-1918
Phone(505) 566-1915
Fax(505) 566-1918
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateDecember 12, 2007
✔ NPI 1639225055 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 NM · PA20050038NM
3451 N BUTLER AVE, Farmington, NM 87401
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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)

Douglas Eugene Shaffer Pac 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.

Other Providers at the Same Location NPPES 9

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

LAWRENCE ANDREW DECKER PAC
Clinic/Center (Urgent Care)
3451 N BUTLER AVE
FARMINGTON, NM 87401
San Juan County (505) 566-1915
MS. DENITA LYNN MCCOY CNP
Nurse Practitioner (Family)
3451 N BUTLER AVE
FARMINGTON, NM 87401
San Juan County (505) 566-1915
MR. GARY JOHN TEARE PAC
Physician Assistant (Medical)
3451 N BUTLER AVE
FARMINGTON, NM 87401
San Juan County (505) 566-1915
RELIANCE MEDICAL GROUP LLC
Clinic/Center (Urgent Care)
3451 N BUTLER AVE
FARMINGTON, NM 87401
San Juan County (505) 566-1915
KENNARD STRADLING MD
Emergency Medicine
3451 N BUTLER AVE
FARMINGTON, NM 87401
San Juan County (505) 566-1915
CHAD SILSETH D.C.
Chiropractor (Occupational Health)
3451 N BUTLER AVE
FARMINGTON, NM 87401
San Juan County (505) 566-1915
DR. LARRY RAY WELLING M.D.
Preventive Medicine (Occupational Medicine)
3451 N BUTLER AVE
FARMINGTON, NM 87401
San Juan County (505) 566-1915
MS. ROSE SALTCLAH N.P.
Nurse Practitioner (Family)
3451 N BUTLER AVE
FARMINGTON, NM 87401
San Juan County (505) 566-1915

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 Douglas Shaffer's NPI number?

The NPI number for Douglas Shaffer is 1639225055. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Douglas Shaffer located?

Douglas Shaffer practices at 3451 N Butler Ave, Farmington, NM 87401. The listed phone number is (505) 566-1915.

What is Douglas Shaffer's specialty?

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

Is Douglas Shaffer enrolled in Medicare?

Yes. Douglas Shaffer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Shaffer was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.