Shana Fearnley, PA-C
NPI 1861480642ActiveIndividual· Physician Assistant, Surgical· Reno, NV
Physician Assistant, Surgical (PA-C) with James J Lynch M D Ltd, practicing in Reno, Nevada. 557 Medicare patients in 2024, $103,124 paid; all of their 190 Part D prescriptions were generic. Neurocrine Biosciences, Inc. was the largest of 6 companies reporting payments in 2025, $241.71 in all, mostly food and beverage. Lists Northern Nevada Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1861480642 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 6, 2005 |
| Last updated in NPPES | Aug 25, 2022 |
| Certified by provider | Aug 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA730 | NV |
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 (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 557 |
|---|---|
| Services billed | 5,479 across 33 procedure codes |
| Paid by Medicare | $103,124 |
Part D prescriptions in 2024
| Prescriptions (claims) | 190 · 195 30-day fills |
|---|---|
| Patients | 99 |
| Total drug cost | $1,604 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- James J Lynch M D LtdReno, NV · 84 clinicians
Hospital affiliations
- Northern Nevada Medical CenterSparks, NV
- Renown Regional Medical CenterReno, NV
- Renown South Meadows Medical CenterReno, NV
- Tahoe Forest HospitalTruckee, CA
Industry payments (Open Payments)
- 2025$241.71 · 9 payments from 6 companies
- 2024$177.35 · 8 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Neurocrine Biosciences, Inc. | $60.32 | 2 |
| Sk Life Science, Inc. | $55.53 | 2 |
| Biogen, Inc. | $52.14 | 2 |
| Vertex Pharmaceuticals Incorporated | $28.41 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $25.12 | 1 |
What the 2025 payments were for
- Food and Beverage$241.71 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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