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

Shane Scavello, PA

Individual provider Surgical Physician Assistant · NPI 1205437498

Shane Scavello, PA is a Physician Assistant in Concord, Massachusetts. Qualified in 2020, 6 years ago. Practices with Ap of Nashville, LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

133 Old Road To 9 Acre Cor
Concord, MA 01742-4159
Phone: (978) 369-1400
Show map & directions

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

Additional practice locations (1)

  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 738-6611

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA01516 (RI)

Record details

NPI number1205437498
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022
Mailing address5 Sesame St, Westerly, RI 02891-1304

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ap Of Nashville, Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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