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

Miss. Shelby Miranda Hall, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386111433

Miss. Shelby Miranda Hall, PA-C is a Physician Assistant in Tonawanda, New York. Qualified in 2020, 6 years ago. Practices with General Physician PC, a 487-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Tonawanda, NY

Additional practice locations (1)

  • 1283 Penora Street, Depew, NY 14043 — (716) 247-1973

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025325 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386111433
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2018
Last updated in NPPESNovember 26, 2024
Certification dateNovember 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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