Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Ann Shibata, PA-C

Individual provider Physician Assistant · NPI 1366863953

Stephanie Ann Shibata, PA-C is a Physician Assistant in Henderson, Nevada. Qualified in 2013, 13 years ago. Practices with Infectious Diseases of Southern Nevada a Professional LLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
13
Licensed in
NV
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

825 N Gibson Rd Ste 311
Henderson, NV 89011-1708
Phone: (027) 768-3007
Fax: (702) 776-8408
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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 PA1480 (NV)

Record details

NPI number1366863953
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 26, 2013
Last updated in NPPESMay 27, 2024
Certification dateMay 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Infectious Diseases Of Southern Nevada A Professional Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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