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

Shelby Leigh Bennett, PA

Individual provider Medical Physician Assistant · NPI 1942074711

Shelby Leigh Bennett, PA is a Physician Assistant in Madras, Oregon. Qualified in 2023, 3 years ago. Practices with Clear Choice Dermatology, a 48-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
3
Licensed in
CA, OR
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

83 SW K St
Madras, OR 97741-1046
Phone: (503) 506-0474
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 PA222574 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA64972 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942074711
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 13, 2023
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Clear Choice Dermatology — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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