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

Individual provider Surgical Physician Assistant · NPI 1457920076

Shanae Vizza, PA-C is a Physician Assistant in Reno, Nevada. Qualified in 2021, 5 years ago. Practices with James J Lynch M D Ltd, a 79-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
5
Licensed in
NV
In the registry since
2021
Specialties on file
2
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

9480 Double Diamond Pkwy Ste 200
Reno, NV 89521-5842
Phone: (775) 348-8800
Fax: (833) 687-1419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1470 Medical Pkwy Ste 220, Carson City, NV 89703-4636 — (775) 348-8800
  • 780 Vista Blvd Ste 100, Sparks, NV 89434-6677 — (775) 348-8800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2563 (NV)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2563 (NV)

Record details

NPI number1457920076
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 18, 2021
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice James J Lynch M D Ltd — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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