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Active NPI 1760946669 Individual Practitioner Female Practitioner

Shannon Michelle Root Bast , PA

Physician Assistant • Bridgeton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Bast, PA is a certified Physician Assistant practicing in Bridgeton, MO. With approximately 6 years of clinical experience since completing medical education in 2020, Shannon Bast delivers high-quality medical care to the local community at 12266 DE PAUL DR STE 205.

Shannon Bast is affiliated with Ssm Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of impacted ear wax. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12266 De Paul Dr Ste 205

Bridgeton, MO 630442514

Telephone 3142182300
Associated Practice Facility / Clinic
🏢 Ardaman S Nanda Inc Facility NPI 1831282177

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bridgeton, MO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -5.4 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
20 Specialists

Practicing in Bridgeton, MO (1802 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bast (6 Years) 6 Yrs
Bridgeton Specialty Average (11.4 Years) 11.4 Yrs

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
62 59 $238.85 $77.72
99213 Established patient office or other outpatient visit, typically 15 minutes
36 34 $110.00 $53.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
21 20 $315.20 $117.12

Medical Specialties & State Licenses

CMS Verified: 2026-03-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2020023147

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.

Hospital & Practice Group Affiliations

Ssm Medical Group Inc

1011 Bowles Ave, Fenton, MO 630262387

Ssm Medical Group Inc

1035 Bellevue Ave, Saint Louis, MO 631171843

Phone: 3149254770

Secondary Practice Locations

8918 W 64th Pl Apt 302

Merriam, KS 662023688

Phone: 3149549951

Practice Associates & Co-Workers

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

17 Associated Practitioners
Dr. Stanley Biel , MD

Internal Medicine - Cardiovascular Disease

NPI 1154327039

Doctor of Medicine (M.D.)

Dr. Imaad Razzaque , MD

Internal Medicine - Cardiovascular Disease

NPI 1194013425

Doctor of Medicine (M.D.)

Maggie Miller , AGNP

Nurse Practitioner - Adult Health

NPI 1205793650

Adult-Gerontology Nurse Practitioner

Dr. Ardaman Nanda , MD

Internal Medicine - Cardiovascular Disease

NPI 1215994892

Doctor of Medicine (M.D.)

Heather Schmitz , PA-C

Physician Assistant - Surgical

NPI 1235163635

Physician Assistant (Certified)

Dr. Arun Venkat , MD

Internal Medicine - Cardiovascular Disease

NPI 1255399267

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2026

Physician Assistant (License #2020023147 in MO)

👤
Provider Name / Credentials Updated August 17, 2022

Recorded as SHANNON BAST, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2022

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2021

Physician Assistant (License #2020023147 in MO)

📍
Updated Practice Location November 01, 2021

Registered at 12266 DE PAUL DR STE 205, BRIDGETON, MO 630442514 (Tel: 3142182300)

📍
Updated Business Mailing Address November 01, 2021

Registered at PO BOX 955534, SAINT LOUIS, MO 631950001

NPI Profile Active January 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2019

Registered at 8918 W 64TH PL APT 302, MERRIAM, KS 662023688 (Tel: 3149549951)

📍
Updated Business Mailing Address January 24, 2019

Registered at 8918 W 64TH PL APT 302, MERRIAM, KS 662023688

👤
Provider Name / Credentials Updated January 24, 2019

Recorded as SHANNON ROOT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 24, 2019

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: 1760946669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2019
Last Update: March 06, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 955534

Saint Louis, MO 631950001

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.