SHANNON MEDLEY P.A.-C NPI 1376705806

NPI Information

  • NPI: 1376705806
  • Provider Name: SHANNON MEDLEY, P.A.-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1208 W 15TH ST
    EDMOND, OK
    ZIP 73013
  • Phone: (405) 340-2100

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NPI Details

Shannon Medley, P.A.-C is a medical physician assistant in Edmond, OK with 20 years of experience. Shannon Medley, P.A.-C NPI is 1376705806. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2006

The provider's business location address is:

1208 W 15TH ST
EDMOND, OK
ZIP 73013-001
Phone: (405) 340-2100
Fax: (405) 340-1184

The NPI 1376705806 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Detection test by immunoassay technique for influenza virus (HCPCS:87400)
  • Automated urinalysis test (HCPCS:81003)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)

The enumeration date for this NPI number is 6/26/2008 and was last updated on 11/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical1614OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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