Doctor profile · Federal record
Dr. Nicole Shaha, PA-C
Surgical Physician Assistant · Mesa, AZ
- NPI 1477078764
- 9 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2545 E Intrepid Ave
Mesa, AZ 852047028
(208) 716-2350
Credentials & registration
- NPI registered
- August 2017 — 9 yrs on file
- Profile last updated
- September 17, 2024
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Arizona #6826
- Medicaid
- AZ #1477078764
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477078764. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
23
Distinct HCPCS
1
Medicare allowed
$935
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
57240 |
Repair of bladder hernia into vaginal wall | 23 | 23 | $41 |
In context: peer comparison
Among 11 peers in Mesa Surgical Physician Assistant, average services per provider: 53. This provider delivers 0.4× the peer median.Frequently asked questions
What is Dr. Nicole Shaha's medical specialty?
Dr. Nicole Shaha practices Surgical Physician Assistant in Mesa, AZ.
Where does Dr. Nicole Shaha practice?
Dr. Nicole Shaha practices at 2545 E Intrepid Ave, Mesa, AZ 852047028. Office phone: 2087162350.
What is Dr. Nicole Shaha's NPI?
Dr. Nicole Shaha's National Provider Identifier (NPI) is 1477078764, issued by NPPES.
What procedures does Dr. Nicole Shaha commonly perform?
Top Medicare-reported procedures in 2023: Repair of bladder hernia into vaginal wall (HCPCS 57240). Source: CMS Medicare Physician & Other Practitioners file.