Shannon Wyngard

ActiveIndividual ProviderPhysician Assistant
NPI issued: June 6, 2026

Quick Facts

NPI Number
1003749169
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(480) 219-6000
StateAZ

NPI Validation Status: Verified

Valid 10-digit NPI number (1003749169)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 6, 2026)
Data source: CMS NPPES

Provider Overview

SHANNON WYNGARD is a Physician Assistant provider based in Mesa, AZ who has been registered with CMS since 2026. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1003749169
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateJune 6, 2026

Practice Location

CityMesa
StateAZ
ZIP Code85206-3618
Phone(480) 219-6000

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateAZ

Mailing Address

CityMesa
StateAZ
ZIP Code85206-3618
Phone(480) 219-6000
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1003749169 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1003749169for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1003749169 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is Shannon Wyngard's NPI number?
Shannon Wyngard's NPI number is 1003749169, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Shannon Wyngard's NPI currently active?
Yes, Shannon Wyngard's NPI status is Active as of the latest CMS NPPES database updates.
What does Shannon Wyngard specialize in?
Shannon Wyngard specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Shannon Wyngard practice?
Shannon Wyngard practices in Mesa, AZ 85206-3618.
When was Shannon Wyngard's NPI issued?
Shannon Wyngard's NPI was issued on June 6, 2026.
What is Shannon Wyngard's provider type?
Shannon Wyngard is registered as an Individual Provider under CMS NPI Type 1.