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

Individual provider Physician Assistant · NPI 1124804083

Shyanne Dawn Rutledge, PA is a Physician Assistant in College Station, Texas. Qualified in 2023, 3 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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

700 Scott And White Dr
College Station, TX 77845-6441
Phone: (979) 207-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3608b Mahan St, Bryan, TX 77802-2212 — (210) 872-9062

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17429 (TX)

Record details

NPI number1124804083
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

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 Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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