Shelley Katherine Cogdell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13163 Issued in TX

Practice address

1401 Medical Pkwy
Cedar Park, TX 78613-7763

Phone

(512) 528-7000

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1154961191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 WILLOW ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025627",
            "telephone_number": "706-473-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137763",
            "telephone_number": "512-528-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGDELL",
        "first_name": "SHELLEY",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynne Clarke, OTR, MOT
• Brooke Erin Cleven, OTR/L
• Anna Click, LCSW
• Clinton J Baird PLC
• Kristina Leigh Clinton, DC
• Joseph I Cohen, M.D.
• Veronica Coker, PHARM.D.
• Jean Paicurich Cole, M.D.
• Emily Ann Coleman, PT, DPT
• Monica Coleman, LMSW

• Physician Assistant in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.