Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871881649 Individual Practitioner Female Practitioner

Laurel J Shambo , PA

Physician Assistant • Webster, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Laurel Shambo, PA is a certified Physician Assistant practicing in Webster, NY. With approximately 15 years of clinical experience since graduating from Albany Medical College Of Union University in 2011, Laurel Shambo delivers high-quality medical care to the local community at 1065 RIDGE RD.

Laurel Shambo is affiliated with Western New York Medical Practice Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1065 Ridge Rd

Webster, NY 145802952

Telephone 5858722273
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Webster, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +1.5 yrs vs City Avg
City Avg: 13.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Webster, NY (15701 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shambo (15 Years) 15 Yrs
Webster Specialty Average (13.5 Years) 13.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 015328

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY P80534

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03417452 (NY)

Hospital & Practice Group Affiliations

Western New York Medical Practice Pc

1425 Portland Ave, Rochester, NY 146213001

Phone: 5859223122

Secondary Practice Locations

9732 State Route 12

Copenhagen, NY 136262906

Phone: 3156882305

Practice Associates & Co-Workers

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

4 Associated Practitioners
Stephanie Huffman , RPA-C

Physician Assistant

NPI 1225095706

RPAC

Lauren Phillips , PA

Physician Assistant

NPI 1306028378

Physician Assistant

Rachel Pierce , NP

Nurse Practitioner - Family

NPI 1528727203

Nurse Practitioner

Shea Drake , PA-C

Physician Assistant

NPI 1851693535

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 08, 2025

Registered at 1065 RIDGE RD, WEBSTER, NY 145802952 (Tel: 5858722273)

📍
Updated Business Mailing Address July 08, 2025

Registered at 100 KINGS HWY S, ROCHESTER, NY 146175504

NPI Profile Active March 08, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2012

Registered at 9732 STATE ROUTE 12, COPENHAGEN, NY 136262906 (Tel: 3156882305)

📍
Updated Business Mailing Address March 08, 2012

Registered at PO BOX 2337, SYRACUSE, NY 132202337 (Tel: 3157015607)

👤
Provider Name / Credentials Updated March 08, 2012

Recorded as LAUREL SHAMBO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2012

Physician Assistant (License #015328 in NY)

🟢
Initial NPI Registration & Enumeration July 14, 2011

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: 1871881649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2011
Last Update: July 08, 2025
Sole Proprietor: No

Mailing Address

100 Kings Hwy S

Rochester, NY 146175504

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.