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SHANTEL TANAE GLICK PA-C
NPI 1841342631
Physician Assistant in Peoria, AZ

Active since January 18, 2007PECOS Enrolled
21681 N 77TH AVE, PEORIA, AZ 85382(623) 972-9200(623) 972-9209 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shantel Tanae Glick Pa-c NPPES

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

SHANTEL TANAE GLICK PA-C (NPI 1841342631) is an individual physician assistant in Peoria, Arizona, licensed in Arizona (AZ3142) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841342631
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANTEL TANAE GLICKCredential: PA-C
Location Address21681 N 77TH AVEPeoria, AZ 85382-2132
Mailing Address21681 N 77th AvePeoria, AZ 85382-2132 · (623) 972-9200 · Fax (623) 972-9209
Phone(623) 972-9200
Fax(623) 972-9209
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMay 20, 2015
✔ NPI 1841342631 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 AZ · AZ3142
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.
21681 N 77TH AVE, Peoria, AZ 85382
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Other Identifiers 2

Medicaid920513AZ
OtherZ159355Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shantel Tanae Glick 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 85382 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 6

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

NIMISHA DARSHAK SHAH M.D.
Family Medicine
21681 N 77TH AVE, STE. 1410
PEORIA, AZ 85382
Maricopa County (623) 312-2265
DR. MATTHEW R ANDERSON M.D.
Family Medicine
21681 N 77TH AVE, SUITE 1405
PEORIA, AZ 85382
Maricopa County (623) 312-2265
DR. VALERIE I. BUSTOS D.O.
Family Medicine
21681 N 77TH AVE, SUITE 1410
PEORIA, AZ 85382
Maricopa County (623) 312-2265
ASPEN RAE LLC
Chiropractor (Rehabilitation)
21681 N 77TH AVE, SUITE 1415
PEORIA, AZ 85382
Maricopa County (623) 572-9200
DR. DOUGLAS R GABRIEL DDS
Dentist (General Practice)
21681 N 77TH AVE, STE. 1420
PEORIA, AZ 85382
Maricopa County (623) 376-7233
MR. SHANE A MCCALL D. C.
Chiropractor
21681 N 77TH AVE, SUITE 1415
PEORIA, AZ 85382
Maricopa County (623) 572-9200

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 Shantel Glick's NPI number?

The NPI number for Shantel Glick is 1841342631. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Shantel Glick located?

Shantel Glick practices at 21681 N 77th Ave, Peoria, AZ 85382. The listed phone number is (623) 972-9200.

What is Shantel Glick's specialty?

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

Is Shantel Glick enrolled in Medicare?

Yes. Shantel Glick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shantel Glick was last updated on May 20, 2015. 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.