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

Individual provider Physician Assistant · NPI 1417911140

Shannon Jo Bartlett, PA is a Physician Assistant in Cincinnati, Ohio. Qualified in 2002, 24 years ago. Practices with Comprehensive Rehab Consultants PLLC, a 250-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
24
Licensed in
OH
In the registry since
2006
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.

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Practice location Address checks out

4380 Malsbary Rd Ste 175
Cincinnati, OH 45242-5644
Phone: (513) 272-0261
Fax: (513) 272-0362
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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 50.001961 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 50001961 (OH)

Record details

NPI number1417911140
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESOctober 18, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Comprehensive Rehab Consultants Pllc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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