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Shane Thomas Gonnelly, PA-C

Physician Assistant in Spearfish, SD · enumerated 2025.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275413189

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Registry record

Entity type Individual (Type 1)
Name Shane Thomas Gonnelly
Credential PA-C
Sex Male
Practice address 2479 E Colorado Blvd, Spearfish, SD, 57783
Enumeration date Sep 3, 2025
Last updated in NPPES Sep 3, 2025

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1635 (SD) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Shane Gonnelly practice?
The practice location on file with NPPES is in Spearfish, SD. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Shane Gonnelly?
The National Provider Identifier (NPI) for Shane Gonnelly is 1275413189, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-03.