Shannon Michelle Root Bast, PA
Shannon Michelle Root Bast, PA is a Physician Assistant in Bridgeton, Missouri. Qualified in 2020, 6 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 6
- Licensed in
- MO
- In the registry since
- 2019
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
12266 De Paul Dr Ste 205Bridgeton, MO 63044-2514
Phone: (314) 218-2300
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 8918 W 64th Pl Apt 302, Merriam, KS 66202-3688 — (314) 954-9951
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2020023147 (MO) |
|---|
Record details
| NPI number | 1760946669 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2019 |
| Last updated in NPPES | March 6, 2026 |
| Certification date | March 6, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Ssm Medical Group Inc — 560 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Bridgeton
-
Spencer Blondeaux
12409 Saint Charles Rock Rd, Bridgeton, MO 63044-2507 · (636) 429-0999
-
Elizabeth Bokermann, PA
12349 De Paul Dr Ste 100, Bridgeton, MO 63044-2512 · (314) 291-7900
-
Danielle Brady
12255 De Paul Dr Ste 770, Bridgeton, MO 63044-2515 · (314) 474-7366
-
Paul J Diesfeld, PA-C
12349 De Paul Dr Ste 100, Bridgeton, MO 63044-2512 · (314) 291-3399