Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Paul Anthony Shakstad Jr., PA-C

Individual provider Physician Assistant · NPI 1568974632

Mr. Paul Anthony Shakstad Jr., PA-C is a Physician Assistant in Sierra Vista, Arizona. Licensed in Arizona and Idaho. Registered with an NPI since 2017.

Licensed in
AZ, ID
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5700 E Highway 90
Sierra Vista, AZ 85635-9110
Phone: (520) 263-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2570 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 6821 (AZ)

Record details

NPI number1568974632
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 30, 2017
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients190
Services billed 289 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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