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

Mrs. Shelly R Daniels, PAC

Individual provider Medical Physician Assistant · NPI 1902212426

Mrs. Shelly R Daniels, PAC is a Physician Assistant in Fargo, North Dakota. Qualified in 2014, 12 years ago. Practices with St Sophie's LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
Specialties on file
2
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

3173 43rd St S
Fargo, ND 58104
Phone: (701) 478-8780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3333-23 (WI)

Record details

NPI number1902212426
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 3, 2014
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 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 St. Sophie'S Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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