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

Individual provider Physician Assistant · NPI 1073042750

Elizabeth Shannon, PA-C is a Physician Assistant in Fort Riley, Kansas. Qualified in 2016, 10 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2017
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

650 Huebner Rd
Fort Riley, KS 66442-4030
Phone: (785) 240-7356
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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 MA058736 (PA)

Record details

NPI number1073042750
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 7, 2017
Last updated in NPPESJanuary 29, 2022
Certification dateJanuary 29, 2022

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 Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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