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

Individual provider Surgical Physician Assistant · NPI 1942906383

Tanner James Shea, PA-C is a Physician Assistant in Elkhorn, Nebraska. Qualified in 2022, 4 years ago. Practices with MD West One PC, a 85-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
4
Licensed in
NE
In the registry since
2023
Specialties on file
2
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

222 N 192nd St
Elkhorn, NE 68022-5363
Phone: (402) 390-4111
Fax: (402) 390-4115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2803 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 2803 (NE)

Record details

NPI number1942906383
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Md West One Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Elkhorn