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

Shannon Rae Horstman

Individual provider Medical Physician Assistant · NPI 1396315966

Shannon Rae Horstman is a Physician Assistant in Clarksville, Tennessee. Qualified in 2022, 4 years ago. Practices with Elite Primary Care LLC, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
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Practice location Address checks out

2690 Madison St Ste 130
Clarksville, TN 37043-6185
Phone: (931) 245-1701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1396315966
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2021
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Elite Primary Care Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clarksville