Shannon Ballard, PA-C

Individual Active
NPI 1962723130
Medical Physician Assistant Newcastle, WY

Shannon Ballard, PA-C holds NPI 1962723130, with a primary taxonomy of medical physician assistant and a practice location in Newcastle, WY. The number was issued on June 22, 2010 and the NPPES record was last updated on December 31, 2025. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X Not listed

Practice locations

1124 Washington Blvd
Newcastle, WY 82701-2972
Phone: (307) 746-3700
921 Ballancee Ave
Lusk, WY 82225-5245
Phone: (720) 316-6903

Local context

Active NPPES records list 1 provider with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 95 in Wyoming and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Shannon Ballard
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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