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

Shane C Pierce, PA-C

Individual provider Physician Assistant · NPI 1659456556

Shane C Pierce, PA-C is a Physician Assistant in Dulles, Virginia. Qualified in 2004, 22 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
22
Licensed in
WA
In the registry since
2006
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

2180 Harare Pl
Dulles, VA 20189-2180
Phone: (202) 663-2453
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10005093 (WA)

Record details

NPI number1659456556
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2401 E Street Nw, M/Med/Qi Sa-1, Washington Dc, DC 20522-0102

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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