NPI
Stacia Kristine Shimanek
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- PA
- Type
- Individual
- Enumeration date
- 2012-01-10
- Last updated
- 2024-02-19
Specialties
Licenses
- License NM
- PA2019-0026
- License MT
- MED-PAC-LIC-113123
Location
- Practice location
- 200 Commons Way Ste B
- City
- Kalispell MT
- Postal code
- 59901-1915
- Phone
- (406) 752-5170
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Kalispell, MT. 2,250 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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