SHAWN GIBBS (PA) – Medical Physician Assistant, NPI 1861760167

SHAWN GIBBS (PA) is a healthcare provider. based in Lindon, Utah. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. 8154463-1206 (UT). The NPI Number for SHAWN GIBBS (PA) is 1861760167

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN GIBBS (PA)
NPI
1861760167
Phone
(801) 836-7650
Address
162 N 400 W
Enumeration Date
1 December 2011
Last Update Date
1 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3852733372
Graduation Year
2011 (15 years ago)
PAC ID
7911243332
Group Practice PAC ID
0648607861
Professional Enrollment ID
I20190107000764
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for SHAWN GIBBS (PA)

  • 162 N 400 W

    LINDON, UT 840421818

    Phone: (801) 836-7650

    Type: Mailing

  • 155 N 400 W

    B6

    OREM, UT 840571909

    Phone: (801) 224-1300

    Fax: (801) 225-3236

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,215.

Total Amount is formed as General ($1,215) + Research ($0) + Ownership ($0) = $1,215.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($266).

Total Amount

$1,215

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,215

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: 2019-01-07

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
I20190107000764IPhysician AssistantUTTBD

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 84042)

Loading plans...

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: 0648607861View full group profile
NameSpecialtyState
-UT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to SHAWN GIBBS (PA)?
NPI 1861760167 is assigned to SHAWN GIBBS (PA) under the national enumeration system.
Does this profile mean SHAWN GIBBS (PA) is currently active?
Yes — SHAWN GIBBS (PA) appears active in the national provider directory.
What kind of provider is SHAWN GIBBS (PA)?
The page reflects Medical Physician Assistant for SHAWN GIBBS (PA). Clinical services aligned with this taxonomy classification.
Does SHAWN GIBBS (PA) practice in Utah?
You will see Lindon, Utah on file for SHAWN GIBBS (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

PO BOX 26067
NPI: 1891790085

KENNETH LYNN HUSSEY (PA-C)

Medical Physician Assistant
PO BOX 1690
NPI: 1841295938

TRACY ANN SEEL (PA)

Physician Assistant
PO BOX 1229
NPI: 1326043225

MELISSA STRUWE BRILEY (MS, PA-C)

Medical Physician Assistant
Fairview Drive, Maple Hills, Fairview, Fairfax, Fairfax (city), Virginia, 22031, United States
NPI: 1265439376

CHRISTINE HENINGER BROKEN LEG (PA)

Medical Physician Assistant
West 800 North, Orem Station, Orem, Utah County, Utah, 84057, United States
NPI: 1740287861

JEFFREY MICHAEL COURSEY (PA)

Medical Physician Assistant
461 S 400 E
NPI: 1477550515

JENNIFER MYERS COOMBS (PA)

Medical Physician Assistant
127, 500 East, Salt Lake City, Salt Lake County, Utah, 84102, United States
NPI: 1518964659
PO BOX 25608
NPI: 1437156114