Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake R Shinn, PA-C

Individual provider Physician Assistant · NPI 1679921126

Blake R Shinn, PA-C is a Physician Assistant in Topeka, Kansas. Qualified in 2016, 10 years ago. Practices with Cotton-O'Neil Clinic Revocable Trust, a 658-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
10
Licensed in
KS
In the registry since
2016
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

2660 SW 3rd St
Topeka, KS 66606-2442
Phone: (785) 270-8880
Fax: (785) 270-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Sw 10th Ave, Topeka, KS 66604-1301 — (785) 354-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-01925 (KS)

Record details

NPI number1679921126
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2016
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cotton-O'Neil Clinic Revocable Trust — 658 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Topeka