Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Djaninn Mae Shannon McKibben, PA-C

Individual provider Physician Assistant · NPI 1023422805

Djaninn Mae Shannon McKibben, PA-C is a Physician Assistant in Bismarck, North Dakota. Qualified in 2014, 12 years ago. Practices with Sanford Bismarck, a 561-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
12
Licensed in
MN, ND
In the registry since
2014
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

222 N 7th St
Bismarck, ND 58501-4436
Phone: (701) 323-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1021 N 26th St, Bismarck, ND 58501-3109 — (701) 323-6000
  • 301 Lorrain Dr, Bismarck, ND 58503-0311 — (701) 323-6000
  • 1011 Boundary St Nw, Mandan, ND 58554-1608 — (701) 323-6000
  • 3500 21st St Se, Mandan, ND 58554-1341 — (701) 323-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0687 (ND)
Physician Assistant Taxonomy 363A00000X · Licence 11613 (MN)

Record details

NPI number1023422805
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 19, 2014
Last updated in NPPESFebruary 22, 2023
Certification dateApril 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sanford Bismarck — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bismarck