Individual provider Active NPI

Daniel A Shurtleff, PA-C

  • Physician Assistant
  • Sweeny, TX
National Provider Identifier
1154729556
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09587 Issued in TX
Practice address
305 N McKinney St
Sweeny, TX 77480-2801
Phone
(979) 548-1500
NPI assigned
Dec 17, 2014
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 PA09587 TX Primary

Addresses

Primary practice location

305 N McKinney St
Sweeny, TX 77480-2801

Mailing address

607 Huisache Grove LN
Richmond, TX 77469-3760
Phone (806) 787-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150220001834 TX Practitioner - Physician Assistant 7113242868 Reassigns benefits to 3 organizations
I20170706000648 NM Practitioner - Physician Assistant 7113242868 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Physician Assistant CurrentSince Mar 2, 2015 Accepting new patients
Ut Physicians CurrentSince Mar 2, 2015 Accepting new patients
Texas Em-I Medical Services, PA Past Accepting new patients
Sweeny Hospital District Physician Assistant Past Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

Interoperability endpoints

  • Direct secure messaging: daniel.shurtleff.1@17497.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1154729556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HUISACHE GROVE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693760",
            "telephone_number": "806-787-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N MCKINNEY ST",
            "city": "SWEENY",
            "state": "TX",
            "postal_code": "774802801",
            "telephone_number": "979-548-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURTLEFF",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-17",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweeny, TX

Sources for this page

Verify at the official NPI Registry.