SHAWN VANGRONIGEN (P.A.) – Physician Assistant, NPI 1386928703

SHAWN VANGRONIGEN (P.A.) is a healthcare provider. based in Hanford, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA21123 (CA). The NPI Number for SHAWN VANGRONIGEN (P.A.) is 1386928703

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN VANGRONIGEN (P.A.)
NPI
1386928703
Phone
(559) 583-7546
Address
740 N. IRWIN STREET
Enumeration Date
4 October 2011
Last Update Date
12 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5595837546
Graduation Year
2010 (16 years ago)
PAC ID
0244403053
Group Practice PAC ID
6305126780
Professional Enrollment ID
I20111021000574
Address ID
CA932305916HA325XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for SHAWN VANGRONIGEN (P.A.)

  • 740 N. IRWIN STREET

    HANFORD, CA 93230

    Phone: (559) 583-7546

    Type: Mailing

  • 325 MALL DR STE 111

    HANFORD, CA 932305916

    Phone: (559) 583-7546

    Type: Location

  • 3827 N 10TH ST STE 305

    MCALLEN, TX 785011745

    Phone: (956) 803-0748

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $1,851.

Total Amount is formed as General ($1,851) + Research ($0) + Ownership ($0) = $1,851.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($819).

Total Amount

$1,851

General + Research + Ownership

Payments

118

Total payment records

General Amount

$1,851

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111021000574IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths3,630403$0
99213Established patient office or other outpatient visit, 20-29 minutes1,276642$0
17000Destruction of precancer skin growth, 1 growth869488$0
11102Biopsy of related skin growth, first growth338280$0
17110Destruction of skin growth, 1-14 growths329255$0
View full utilization report →

Insurance plans in this area (ZIP 93230)

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Provider's Procedures

SHAWN VANGRONIGEN (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCA11101Biopsy of each additional growth of skin and/or tissue4531
PHYSICIAN ASSISTANTCA17003Destruction of 2-14 skin growths1639267

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305126780View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), Dermatology, DermatologyCA
Physician AssistantCA
Physician AssistantNV
P A T H O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

Does SHAWN VANGRONIGEN (P.A.) have a public NPI I can cite?
Public records show SHAWN VANGRONIGEN (P.A.) under NPI 1386928703.
Is SHAWN VANGRONIGEN (P.A.) currently accepting referrals based on NPI status?
Registry metadata lists SHAWN VANGRONIGEN (P.A.) as active.
What type of care does SHAWN VANGRONIGEN (P.A.) provide?
SHAWN VANGRONIGEN (P.A.)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to SHAWN VANGRONIGEN (P.A.)?
The directory associates SHAWN VANGRONIGEN (P.A.) with Hanford, California. Check all listed addresses for suites or satellite offices.
Who maintains SHAWN VANGRONIGEN (P.A.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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