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Active NPI 1063459683 Individual Practitioner Female Practitioner

Shannon Michelle Gillespie , PA-C

Physician Assistant • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Shannon Gillespie, PA-C is a registered healthcare professional specializing in Physician Assistant in Modesto, CA. Practice services are available at 1441 FLORIDA AVENUE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1441 Florida Avenue

Modesto, CA 95350

Telephone 2095763609
Associated Practice Facility / Clinic
🏢 Cep America - California Facility NPI 1639124167

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
124 Specialists

Practicing in Modesto, CA (14617 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
52 50 $832.00 $103.59
99285 Emergency department visit for life threatening or functioning severity
21 21 $1226.95 $149.99

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA17889

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Linda Bobrik , MD

Emergency Medicine

NPI 1194770305

Doctor of Medicine (M.D.)

Dr. Douglas Joe , MD

Emergency Medicine

NPI 1205873429

Doctor of Medicine (M.D.)

Brian Thompson , PA-C

Physician Assistant

NPI 1336187699

Physician Assistant (Certified)

Dr. Robert Barandica , MD

Emergency Medicine

NPI 1346295888

Doctor of Medicine (M.D.)

William Tripp , PA-C

Physician Assistant

NPI 1548217474

Physician Assistant (Certified)

Richard Kelley , PA-C

Physician Assistant

NPI 1558316786

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2007

Registered at 1441 FLORIDA AVENUE, MODESTO, CA 95350 (Tel: 2095763609)

📍
Updated Business Mailing Address November 27, 2007

Registered at 2100 POWELL STREET, STE 920, EMERYVILLE, CA 946081803 (Tel: 5103502600)

👤
Provider Name / Credentials Updated November 27, 2007

Recorded as SHANNON GILLESPIE, P.A-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Physician Assistant (License #PA17889 in CA)

🟢
Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063459683
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: November 27, 2007
Sole Proprietor: No

Mailing Address

2100 Powell Street, Ste 920

Emeryville, CA 946081803

Phone: 5103502600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.