NPIMap

Individual provider Active NPI

Michael Edgar Nesbitt, PA

  • Physician Assistant
  • Brady, TX
National Provider Identifier
1033108485
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05882 Issued in TX
Practice address
2008 Nine Rd
Brady, TX 76825-7210
Phone
(210) 602-6719
NPI assigned
Oct 18, 2005
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05882 TX Primary
Physician Assistant 363A00000X 1047135 NC

Addresses

Primary practice location

2008 Nine Rd
Brady, TX 76825-7210

Mailing address

1900 Barton Springs Rd Unit 5030
Austin, TX 78704-1471
Phone (512) 828-6997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090302000277 TX Practitioner - Physician Assistant 4587720404 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

704 Hospital Dr
Carrizo SPGS, TX 78834-3836
Phone (830) 876-2424

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

Merit-based Incentive Payment System (MIPS)

Final score
94.46 of 100Reported as group
Quality
92.48
Improvement activities
40
Cost
72.99

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
76.18
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1047135NCMDPhysician Assistant
PA05882TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dimmit Regional Hospital CurrentSince Jan 1, 2026 Accepting new patients
Lone Star Emergency Associates LLC CurrentSince Sep 1, 2016 Accepting new patients
Dimmit Regional Hospital CurrentSince Jan 1, 2026 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jan 14, 2026 Accepting new patients
Dimmit Regional Hospital CurrentSince Feb 1, 2026 Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Georgia Emergency Associates Past Accepting new patients
Texas Em-1 Medical Services, PA Physician Assistant Past Accepting new patients
South Texas Hospitalist Associates LLC Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

1313 Veterans Ave
Ste A
Crystal City, TX 78839
Phone (830) 374-9823

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: mnesbitt65928@shannonhealth.direct-ci.com

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 4

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1033108485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BARTON SPRINGS RD UNIT 5030",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041471",
            "telephone_number": "512-828-6997",
            "fax_number": "512-476-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 NINE RD",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768257210",
            "telephone_number": "210-602-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "MICHAEL",
        "middle_name": "EDGAR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05882",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "1047135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brady, TX

Sources for this page

Verify at the official NPI Registry.