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

MS. Julietta Rachel Shapiro, PA-C

Individual provider Physician Assistant · NPI 1356824114

MS. Julietta Rachel Shapiro, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2018, 8 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Washington.

Years since qualifying
8
Licensed in
AZ, WA
In the registry since
2018
Specialties on file
3
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

20950 N Tatum Blvd Ste 190
Phoenix, AZ 85050-4251
Phone: (602) 776-0021
Fax: (623) 742-2061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 903 S Adams St, Ritzville, WA 99169 — (509) 659-1200
  • 903 S Adams St, Ritzville, WA 99169 — (509) 659-1200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7171 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 60912915 (WA)
Physician Assistant Taxonomy 363A00000X (AZ)

Record details

NPI number1356824114
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 7, 2018
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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