Physician Assistant
SHANNON BAST PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1760946669 · enumerated 2019-01-24 · record updated 2026-03-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: SHANNON ROOT
Addresses and phones
- Mailing address PO BOX 955534, SAINT LOUIS, MO, 63195-0001 Google Maps Apple Maps OpenStreetMap
- Practice location 12266 DE PAUL DR STE 205, BRIDGETON, MO, 63044-2514 (314) 218-2300 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 2020023147 MO
Published links
In this directory
Locations and evidence
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Practice location
BRIDGETON, MO, 630442514
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.