TONJA SHANDY (P.A.- C) – Physician Assistant, NPI 1235152737

TONJA SHANDY (P.A.- C) is a healthcare provider. based in Okemah, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.- C. They hold a License No. 757 (OK). The NPI Number for TONJA SHANDY (P.A.- C) is 1235152737

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
TONJA SHANDY (P.A.- C)
NPI
1235152737
Phone
(918) 623-1424
Address
309 N 14th St
Enumeration Date
25 July 2006
Last Update Date
28 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4058035010
Graduation Year
1995 (31 years ago)
PAC ID
6002902707
Group Practice PAC ID
7012914898
Professional Enrollment ID
I20071010000697
Address ID
OK730801742PU999XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for TONJA SHANDY (P.A.- C)

  • 309 N 14th St

    Okemah, OK 748592028

    Phone: (918) 623-1424

    Fax: (918) 623-2809

    Type: Location

  • 1401 N 4TH AVE STE 107

    PURCELL, OK 730801806

    Phone: (405) 527-5400

    Fax: (405) 527-7332

    Type: Location

  • O. L. Lackey Hall, 1801, East 4th Street, Okmulgee, Okmulgee County, Oklahoma, 74447, United States

    OKMULGEE, OK 744473942

    Phone: (918) 756-4333

    Fax: (918) 759-2081

    Type: Mailing

  • Muscogee (Creek) Nation Community Hospital, 309, North 14th Street, Okemah, Okfuskee County, Oklahoma, 74859, United States

    OKEMAH, OK 748592028

    Phone: (918) 623-1424

    Fax: (918) 623-2809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 152 Open Payments records for all available years, with a total value of $3,032.

Total Amount is formed as General ($3,032) + Research ($0) + Ownership ($0) = $3,032.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($376).

Total Amount

$3,032

General + Research + Ownership

Payments

152

Total payment records

General Amount

$3,032

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2007-10-10

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
I20071010000697IPhysician AssistantOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes278169$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg14835$0
99213Established patient office or other outpatient visit, 20-29 minutes10493$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9696$0
96372Injection of drug or substance under skin or into muscle9053$0
View full utilization report →

Insurance plans in this area (ZIP 74859)

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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: 7012914898View full group profile
NameSpecialtyState
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
U R O L O G YOK
Clinical Social WorkerOK
Physician AssistantOK
Family PracticeOK
Physician AssistantOK
Orthopedic SurgeryOK
Family PracticeOK
Family PracticeOK

Reviews

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Frequently asked questions

What is the 10-digit NPI for TONJA SHANDY (P.A.- C)?
TONJA SHANDY (P.A.- C) — NPI 1235152737 — is the standard way to identify this listing.
Can I rely on TONJA SHANDY (P.A.- C) being an active provider?
As of the registry snapshot, TONJA SHANDY (P.A.- C) is marked active.
What is TONJA SHANDY (P.A.- C) best known for clinically?
Directory data describes TONJA SHANDY (P.A.- C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does TONJA SHANDY (P.A.- C) serve?
TONJA SHANDY (P.A.- C)'s listing highlights Okemah, Oklahoma; more addresses can appear in NPPES.
Why does TONJA SHANDY (P.A.- C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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