Nwse: Nicole Warner Shaha Enterprises, LLC
NPI 1205663846ActiveOrganization· Physician Assistant, Surgical· Mesa, AZ
Physician Assistant, Surgical in Mesa, Arizona, registered in NPPES in September 2024. The authorized official on file is Nicole Warner Shaha, PA-C, Surgical Assistant.
Overview
| NPI | 1205663846 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2024 |
| Last updated in NPPES | Sep 17, 2024 |
| Certified by provider | Sep 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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