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

John R Shilling Jr., PAC

Individual provider Physician Assistant · NPI 1568775906

John R Shilling Jr., PAC is a Physician Assistant in Fargo, North Dakota. Graduated from University of North Dakota School of Medicine in 2010, 16 years ago. Practices with Innovis Health LLC, a 573-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
16
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2010
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3902 13th Ave S
Fargo, ND 58103-3357
Phone: (701) 364-6600
Fax: (701) 364-6628
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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 PAC0431 (ND)

Record details

NPI number1568775906
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 14, 2010
Last updated in NPPESDecember 29, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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