Shane Wakefield
Shane Wakefield is a Physician Assistant in Sparks, Nevada. Qualified in 2024, 2 years ago. Practices with Northern Nevada Medical Group LLC, a 87-clinician group and accepts Medicare assignment. Licensed in California and Nevada.
- Years since qualifying
- 2
- Licensed in
- CA, NV
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
2375 E Prater WaySparks, NV 89434-9641
Phone: (775) 331-7000
Fax: (775) 352-5303
Show map & directions
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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 PA3190 (NV) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
| Physician Assistant | Taxonomy 363A00000X · Licence PA65106 (CA) |
Record details
| NPI number | 1487345823 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 17, 2023 |
| Last updated in NPPES | July 23, 2026 |
| Certification date | July 23, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Northern Nevada Medical Group Llc — 87 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Sparks
-
Deann Reynolds, PA-C
3160 Vista Blvd, Sparks, NV 89436-6703 · (775) 352-7200
-
Roxann Jeanette Richardson
1075 Roberta Ln Ste 102, Sparks, NV 89431-1893 · (775) 209-7065
-
Erika Bucy Stack, PA-C
2375 E Prater Way, Sparks, NV 89434-9641 · (775) 352-5301
-
Douglas G Starley, PAC
3160 Vista Blvd, Sparks, NV 89436-6703 · (775) 352-7200
-
Rachel Walkenhorst
5070 Ion Dr, Sparks, NV 89436-1612 · (775) 770-7727
-
Danielle Kovaltchouk West, PA-C
2385 E Prater Way Ste 205, Sparks, NV 89434-9688 · (775) 356-4888