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

Individual provider Physician Assistant · NPI 1174920524

Shannon Husebo, PA-C is a Physician Assistant in Allentown, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Burke Dermatology PA, an 11-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
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

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone: (484) 862-3232
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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 MA056961 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA003440 (PA)

Record details

NPI number1174920524
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2014
Last updated in NPPESDecember 24, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Burke Dermatology Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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