MRS. SHANNON WATKINS (PA-C) – Surgical Physician Assistant, NPI 1013491968
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
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Provider Addresses for MRS. SHANNON WATKINS (PA-C)
20808 N 27TH AVE APT 2030
PHOENIX, AZ 850273235
Phone:
Type: Mailing
100, East Virginia Avenue, Encanto, Phoenix, Maricopa County, Arizona, 85004, United States
PHOENIX, AZ 850041254
Phone: (602) 258-4788
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $36.
Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.
Last reported payment date: 2023-09-25 • Largest payer in this snapshot: Orthofix Medical, Inc. ($23).
Total Amount
$36
General + Research + Ownership
Payments
2
Total payment records
General Amount
$36
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $23 |
| Stryker Corporation | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-08-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181207001954 | I | Physician Assistant | AZ | TBD |
| I20190830000548 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 30 | 12 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 85027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Hand Surgery | AZ | |
| Occupational Therapist In Private Practice | SC | |
| Physician Assistant | IN | |
| Orthopedic Surgery, Hand Surgery | CA | |
| Plastic And Reconstructive Surgery, Hand Surgery | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Occupational Therapist In Private Practice | FL | |
| Occupational Therapist In Private Practice | AZ | |
| - | AZ |
Reviews
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