Shane Thomas Gonnelly, PA-C
Physician Assistant · Spearfish, SD
Shane Thomas Gonnelly, PA-C is a physician assistant with a practice address in Spearfish, South Dakota, and NPI 1275413189, issued on Sep 3, 2025. Check the license (South Dakota 1635, as entered in NPPES) with the South Dakota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shane Thomas Gonnelly
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 1635 SD
Self-reported in NPPES; status is on the state search - Practice location
- 2479 E Colorado Blvd, Spearfish, SD 57783
- Phone
- (605) 644-4460
- Enumerated
- Sep 3, 2025
- Record last updated
- Sep 3, 2025
- Medicare enrollment
- Enrolled (PECOS I20251204001354); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 674 in South Dakota → Look up another NPI →
Also registered at 2479 E Colorado Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Shane Thomas Gonnelly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Dakota board licenses this profession
Search for license 1635Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Monument Health Network IncSpearfish, SD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shane Thomas Gonnelly among 674 physician assistant records in South Dakota
Shane Thomas Gonnelly, PA-C is one of 674 physician assistant records with a practice address in South Dakota. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 96% of them.
- NPI issued2025 · 96% of these records are older, under 1% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2025 · median 2014 among the 482 with a school on file
- Record last updated2025 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a South Dakota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
9 physician assistant records list a practice address in Spearfish
They are 9 of the 382 NPPES records with a practice address in Spearfish, and 674 physician assistant records in South Dakota.
All 674 in South Dakota → Every provider in Spearfish → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Wesley Broeder, PA-CSpearfish, SD 577831598952822
- Mark Heine, PA-CSpearfish, SD 577831366489403
- Jessica Johnson, PASpearfish, SD 577831114650033
- Dylin JohnsonSpearfish, SD 577831679413470
- Jami Kortan, PA-CSpearfish, SD 577831558316422
- Gregory Larson, PA-CSpearfish, SD 577831134577448
- Chloe McPhilamySpearfish, SD 577831336747856
- Lynette Siewert, PACSpearfish, SD 577831942313374
Common questions
What is Shane Thomas Gonnelly, PA-C's NPI number?
Shane Thomas Gonnelly, PA-C's National Provider Identifier (NPI) is 1275413189, issued on Sep 3, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Shane Thomas Gonnelly, PA-C located?
The NPPES record lists a practice address at 2479 E Colorado Blvd, Spearfish, SD, 57783. Phone: (605) 644-4460. Providers update this record themselves, so call before visiting.
How can I verify Shane Thomas Gonnelly, PA-C's license?
NPPES lists South Dakota license number 1635, as entered by the provider. Search the South Dakota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.