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

Shannon K Brasher, PA-C

Individual provider Physician Assistant · NPI 1255547287

Shannon K Brasher, PA-C is a Physician Assistant in Prineville, Oregon. Qualified in 2002, 24 years ago. Practices with St Charles Health System Inc, a 177-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
24
Licensed in
AZ, OR
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

384 SE Combs Flat Rd Ste 1200
Prineville, OR 97754-2562
Phone: (541) 447-6263
Fax: (541) 447-8724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1103 Ne Elm St, Prineville, OR 97754-1664 — (541) 447-6263

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA152859 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 2787 (AZ)

Record details

NPI number1255547287
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

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 St Charles Health System Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Prineville