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

Shane E Reynolds, PA-C

Individual provider Physician Assistant · NPI 1285727859

Shane E Reynolds, PA-C is a Physician Assistant in Peoria, Arizona. Qualified in 2006, 20 years ago. Practices with Banner Urgent Care Services LLC, a 205-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Licensed in
AZ
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7615 W Thunderbird Rd Ste 106
Peoria, AZ 85381-6083
Phone: (623) 773-2273
Fax: (623) 773-2274
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3491 (AZ)

Record details

NPI number1285727859
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESSeptember 9, 2010
Mailing addressPo Box 9609, Belfast, ME 04915-9609

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Banner Urgent Care Services Llc — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Peoria