EDWIN KENNETH SHEILS (PA-C) – Physician Assistant, NPI 1043488596

EDWIN KENNETH SHEILS (PA-C) is a healthcare provider. based in Saratoga, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 434 (WY). The NPI Number for EDWIN KENNETH SHEILS (PA-C) is 1043488596

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
EDWIN KENNETH SHEILS (PA-C)
NPI
1043488596
Phone
(307) 326-8381
Address
PO BOX 648
Enumeration Date
19 February 2008
Last Update Date
7 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4063221000
Graduation Year
2007 (19 years ago)
PAC ID
4082799416
Group Practice PAC ID
6406889815
Professional Enrollment ID
I20160803003083
Address ID
MT590197215CO710XXNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

324 PHYSICIAN ASSISTANT in WY

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Provider Addresses for EDWIN KENNETH SHEILS (PA-C)

  • 648, Sunny Lane, Ballston Spa, Town of Milton, Saratoga County, New York, 12020, United States

    1208 RIVER STREET

    SARATOGA, WY 823310648

    Phone: (307) 326-8381

    Fax: (307) 326-5698

    Type: Mailing

  • South River Street, Saratoga, Carbon County, Wyoming, 82333, United States

    SARATOGA, WY 823310650

    Phone: (307) 326-8381

    Fax: (307) 326-5698

    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 $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($59).

Total Amount

$59

General + Research + Ownership

Payments

1

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

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: 2016-08-03

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
I20160803003083IPhysician AssistantMTTBD

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 minutes1812$0
View full utilization report →

Insurance plans in this area (ZIP 82331)

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Provider's Procedures

EDWIN KENNETH SHEILS (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTWY83036Hemoglobin A1C level1313

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: 6406889815View full group profile
NameSpecialtyState
-MT
Nurse PractitionerAZ
Family PracticeMT
Diagnostic RadiologyOR
Diagnostic RadiologyCO
Diagnostic RadiologyMT
Diagnostic RadiologyMT
Nurse PractitionerMT
Nurse PractitionerMT
General SurgeryWY

Reviews

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Frequently asked questions

What federal number belongs to EDWIN KENNETH SHEILS (PA-C)?
The federal identifier for EDWIN KENNETH SHEILS (PA-C) is NPI 1043488596.
Is EDWIN KENNETH SHEILS (PA-C) active in the national directory?
EDWIN KENNETH SHEILS (PA-C)'s public NPI profile is in an active state.
What field does EDWIN KENNETH SHEILS (PA-C) work in?
You can think of EDWIN KENNETH SHEILS (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for EDWIN KENNETH SHEILS (PA-C)?
We surface Saratoga, Wyoming for EDWIN KENNETH SHEILS (PA-C) based on available NPPES addresses.
How can I contact EDWIN KENNETH SHEILS (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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