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

Shannon Sparks

Individual provider Physician Assistant · NPI 1164883286

Shannon Sparks is a Physician Assistant in Wenatchee, Washington. Qualified in 2015, 11 years ago. Practices with Central Washington Health Services Association, a 702-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
11
Licensed in
WA
In the registry since
2016
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Practice location Address checks out

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone: (509) 663-8711
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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 PA60664247 (WA)

Record details

NPI number1164883286
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2016
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022
Mailing address820 N Chelan Ave, Wenatchee, WA 98801-2028

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Central Washington Health Services Association — 702 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Wenatchee