STEPHANIE ANN SHIBATA (PA-C) – Infectious Disease Physician, NPI 1366863953

STEPHANIE ANN SHIBATA (PA-C) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1480 (NV). The NPI Number for STEPHANIE ANN SHIBATA (PA-C) is 1366863953

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE ANN SHIBATA (PA-C)
NPI
1366863953
Phone
(702) 968-2437
Address
2435 FIRE MESA ST
Enumeration Date
26 December 2013
Last Update Date
27 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027768300
Graduation Year
2013 (13 years ago)
PAC ID
4688803539
Group Practice PAC ID
7012065576
Professional Enrollment ID
I20140219000362
Address ID
NV890111708HE825XXRDXX448
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for STEPHANIE ANN SHIBATA (PA-C)

  • 2435 FIRE MESA ST

    STE 101

    LAS VEGAS, NV 891289009

    Phone: (702) 968-2437

    Fax: (702) 479-1796

    Type: Mailing

  • 825 N GIBSON RD STE 311

    HENDERSON, NV 890111708

    Phone: (702) 776-8300

    Fax: (702) 776-8408

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,623.

Total Amount is formed as General ($1,623) + Research ($0) + Ownership ($0) = $1,623.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ViiV Healthcare Company ($527).

Total Amount

$1,623

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,623

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2014-02-19

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
I20140219000362IPhysician AssistantNVTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,152416$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes219207$0
99213Established patient office or other outpatient visit, 20-29 minutes14975$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3724$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 89128)

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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: 7012065576View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineNV
Certified Clinical Nurse Specialist (Cns)NV
Infectious Disease, Internal MedicineNV
Nurse PractitionerNV
Nurse PractitionerNV
-NV
Infectious Disease, Internal MedicineNV
Nurse PractitionerNV
Physician AssistantNV
Internal Medicine, Infectious DiseaseNV

Reviews

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Frequently asked questions

Where can patients find STEPHANIE ANN SHIBATA (PA-C)'s NPI?
You can confirm STEPHANIE ANN SHIBATA (PA-C) with NPI 1366863953; it appears in the national provider directory.
Is STEPHANIE ANN SHIBATA (PA-C)'s NPI currently valid?
The extract we use shows STEPHANIE ANN SHIBATA (PA-C) as active.
Does STEPHANIE ANN SHIBATA (PA-C) list a primary specialty?
If you are matching referrals, note Infectious Disease Physician for STEPHANIE ANN SHIBATA (PA-C). Clinical services aligned with this taxonomy classification.
Does STEPHANIE ANN SHIBATA (PA-C) practice in Nevada?
You will see Las Vegas, Nevada on file for STEPHANIE ANN SHIBATA (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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