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

Shawna Renee Carbonniere, PA

Individual provider Medical Physician Assistant · NPI 1265557060

Shawna Renee Carbonniere, PA is a Physician Assistant in Prescott, Arizona. Qualified in 2006, 20 years ago. Practices with Nextcare Arizona I Jv LLC, a 301-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Licensed in
AZ
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3110 Clearwater Dr Ste B
Prescott, AZ 86305-7177
Phone: (623) 516-8252
Fax: (623) 516-8253
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3516 (AZ)

Record details

NPI number1265557060
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Nextcare Arizona I Jv Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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