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

Individual provider Physician Assistant · NPI 1013199330

Shane Martin Wible, MPAS, PA-C is a Physician Assistant in Fishkill, New York. Qualified in 2007, 19 years ago. Practices with Ellenville Emergency Medical Associates PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in New Mexico and Utah.

Years since qualifying
19
Licensed in
NM, UT
In the registry since
2007
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

60 Merritt Blvd Ste 106
Fishkill, NY 12524-2990
Phone: (845) 905-5090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6792106-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA2013-0029 (NM)

Record details

NPI number1013199330
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2007
Last updated in NPPESJuly 24, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ellenville Emergency Medical Associates Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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