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

Shianne Donovan

Individual provider Athletic Trainer · NPI 1982168860

Shianne Donovan is a Physician Assistant in Edinboro, Pennsylvania. Qualified in 2024, 2 years ago. Practices with St Vincent Medical Education and Research Institute Inc, a 299-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

450 Erie St
Edinboro, PA 16412
Phone: (814) 734-1618
Fax: (814) 734-3102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 E State St, Albion, PA 16401-1347 — (814) 756-4917

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence OA007016 (PA)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1982168860
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 25, 2019
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address450 Erie St, Edinboro, PA 16412-2200

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St Vincent Medical Education And Research Institute Inc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edinboro