SHANE KNELL (PHARMD, PA-C) – Physician Assistant, NPI 1275813818

SHANE KNELL (PHARMD, PA-C) is a healthcare provider. based in Neptune beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHARMD, PA-C. They hold a License No. PS47947 (FL). The NPI Number for SHANE KNELL (PHARMD, PA-C) is 1275813818

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
SHANE KNELL (PHARMD, PA-C)
NPI
1275813818
Phone
(904) 247-1953
Address
406 ATLANTIC BLVD
Enumeration Date
26 August 2011
Last Update Date
10 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7172176937
Graduation Year
2023 (3 years ago)
PAC ID
8123469616
Group Practice PAC ID
1951213115
Professional Enrollment ID
I20240515001674
Address ID
PA170159129CA338XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for SHANE KNELL (PHARMD, PA-C)

  • 406 ATLANTIC BLVD

    NEPTUNE BEACH, FL 322664022

    Phone: (904) 247-1953

    Type: Mailing

  • 601 MEMORY LN

    YORK, PA 174022231

    Phone: (717) 851-1405

    Type: Mailing

  • 22 ST PAUL DR

    CHAMBERSBURG, PA 172011036

    Phone: (717) 217-6944

    Type: Location

  • 338 Alexander Spring Rd

    Carlisle, PA 170159129

    Phone: (717) 218-5103

    Type: Location

  • 501 E Main St

    Waynesboro, PA 172682353

    Phone: (717) 217-6944

    Type: Location

  • 97 Progress Blvd

    Shippensburg, PA 172579053

    Phone: (717) 217-6944

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $92.

Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($92).

Total Amount

$92

General + Research + Ownership

Payments

1

Total payment records

General Amount

$92

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-05-15

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
I20240515001674IPhysician AssistantPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32266)

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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: 1951213115View full group profile
NameSpecialtyState
Family PracticePA
-PA
-PA
N E U R O L O G YSC
Physician AssistantPA
Hospitalist, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)PA
Physician AssistantPA
Family PracticePA
Internal Medicine, Pulmonary Disease, Sleep MedicinePA

Reviews

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Frequently asked questions

How is SHANE KNELL (PHARMD, PA-C) identified in CMS data?
CMS-hosted NPPES data lists SHANE KNELL (PHARMD, PA-C) with NPI 1275813818.
Does CMS list SHANE KNELL (PHARMD, PA-C) as active?
Yes — SHANE KNELL (PHARMD, PA-C) is active in the NPI listing used on this page.
What is SHANE KNELL (PHARMD, PA-C)'s specialty?
The listing groups SHANE KNELL (PHARMD, PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does SHANE KNELL (PHARMD, PA-C) serve?
SHANE KNELL (PHARMD, PA-C)'s listing highlights Neptune Beach, Florida; more addresses can appear in NPPES.
Why does SHANE KNELL (PHARMD, PA-C) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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