Shelly R. Daniels, PA C
NPI 1902212426ActiveIndividual· Physician Assistant· Fargo, ND
Physician Assistant (PA C) with St. Sophie's LLC, practicing in Fargo, North Dakota. Their prescriptions cost Medicare Part D more than their services did: $25,349 for 823 claims, against $8,710 paid for services in 2024.
Overview
| NPI | 1902212426 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA C |
| Sole proprietor | No |
| NPI issued | Jul 3, 2014 |
| Last updated in NPPES | Jan 21, 2022 |
| Certified by provider | Jan 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | 3333-23 | WI |
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 (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 140 across 4 procedure codes |
| Paid by Medicare | $8,710 |
Part D prescriptions in 2024
| Prescriptions (claims) | 823 · 982 30-day fills |
|---|---|
| Patients | 58 |
| Total drug cost | $25,349 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- St. Sophie's LLCFargo, ND · 9 clinicians
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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