Individual provider Active NPI

Melinda Sue Schock, PA-C

  • Physician Assistant
  • Amarillo, TX
National Provider Identifier
1013040914
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05043 Issued in TX
Practice address
1215 S Coulter St Ste 101
Amarillo, TX 79106-1761
Phone
(806) 677-7952
Fax
(806) 353-6081
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05043 TX Primary

Addresses

Primary practice location

1215 S Coulter St Ste 101
Amarillo, TX 79106-1761

Mailing address

1215 S Coulter St Ste 101
Amarillo, TX 79106-1761
Phone (806) 677-7952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140630001562 TX Practitioner - Physician Assistant 1355566670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Bone and Joint Clinic PLLCGroup PAC ID 6103978499, 17 clinicians

Practice addresses (Care Compare)

1100 S Coulter St
Amarillo, TX 79106-1836
Phone (806) 468-9700

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875

Merit-based Incentive Payment System (MIPS)

Final score
30.05 of 100Reported as group
Quality
27.83
Promoting interoperability
0
Improvement activities
10
Cost
59.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05043TXMDPhysician Assistant

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1013040914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST STE 101",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061761",
            "telephone_number": "806-677-7952",
            "fax_number": "806-353-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST STE 101",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061761",
            "telephone_number": "806-677-7952",
            "fax_number": "806-353-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOCK",
        "first_name": "MELINDA",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.