SHANNON M. HOGAN (PA-C) – Physician Assistant, NPI 1801865845
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHANNON M. HOGAN (PA-C)
3841 W Charleston Blvd Ste 203
Las Vegas, NV 891021858
Phone: (702) 848-4443
Fax: (702) 805-0299
Type: Location
West McDowell Road, Goodyear, Maricopa County, Arizona, 85338, United States
SUITE 101
GOODYEAR, AZ 853382624
Phone: (623) 881-9238
Fax: (623) 512-4253
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-03-06
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 |
|---|---|---|---|---|
| I20130214000519 | I | Physician Assistant | UT | TBD |
| I20200306000557 | I | Physician Assistant | NV | 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 |
|---|---|---|---|---|
| 99341 | Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 89102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nurse Practitioner | NV | |
| - | OH | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | SC | |
| - | NV |
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