Shannon Michelle Gillespie, P.A-C
NPI 1063459683ActiveIndividual· Physician Assistant· Modesto, CA
Physician Assistant (P.A-C) in Modesto, California, licensed in CA, with an NPI issued in June 2006. 79 Medicare patients in 2024, $7,547 paid; nearly all of their 117 Part D prescriptions were generic (97%).
Overview
| NPI | 1063459683 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A-C |
| Sole proprietor | No |
| NPI issued | Jun 1, 2006 |
| Last updated in NPPES | Nov 27, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA17889 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 88 across 10 procedure codes |
| Paid by Medicare | $7,547 |
Part D prescriptions in 2024
| Prescriptions (claims) | 117 · 117 30-day fills |
|---|---|
| Patients | 75 |
| Total drug cost | $1,669 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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