Individual provider Active NPI

Shane Eugene Mass, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1356959241
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13690 Issued in TX
Practice address
22135 Ih 10 W
San Antonio, TX 78257-1621
Phone
(210) 698-1643
NPI assigned
Jul 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 PA13690 TX Primary
Physician Assistant 363A00000X 11273 AZ

Addresses

Primary practice location

22135 Ih 10 W
San Antonio, TX 78257-1621

Mailing address

22135 Ih 10 W
San Antonio, TX 78257-1621
Phone (402) 578-1892

Other practice location 1

1751 Medical Way
New Braunfels, TX 78132-4521
Phone (830) 627-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, CO, AZ, OK, NM6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20200929001836 TX Practitioner - Physician Assistant 2668891417 Reassigns benefits to 7 organizations
I20240828003162 CA Practitioner - Physician Assistant 2668891417 Reassigns benefits to 1 organization
I20241120002116 CO Practitioner - Physician Assistant 2668891417 Reassigns benefits to 2 organizations
I20250923003929 AZ Practitioner - Physician Assistant 2668891417 Reassigns benefits to 1 organization
I20251028004719 OK Practitioner - Physician Assistant 2668891417 Reassigns benefits to 1 organization
I20251230000556 NM Practitioner - Physician Assistant 2668891417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Obs Colorado PLLCGroup PAC ID 7214473388, 28 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians

Practice addresses (Care Compare)

1375 E 19TH Ave
Denver, CO 80218-1114
Phone (303) 812-2000

3436 Isleta Blvd SW
Albuquerque, NM 87105-5837
Phone (505) 462-7777

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2697NEMDMental Health Counselor
11273AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation Current Accepting new patients
Ies ER Oklahoma LLC CurrentSince Oct 1, 2025 Accepting new patients
Cherokee Nation CurrentSince Nov 20, 2024 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Aug 15, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 1, 2026 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Aug 15, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Nov 20, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 1, 2026 Accepting new patients
LSP, PLLC PastSince Jul 1, 2020 Accepting new patients
Cherokee Nation Past Accepting new patients
Lonestar 24HR ER Management LLC PastSince Jul 1, 2020 Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

8312 Kaseman Ct NE
Albuquerque, NM 87110
Phone (505) 291-2200

7400 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 596-2400

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1001 S 41st St E
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

395200 W 2900 Rd
Ochelata, OK 74051
Phone (918) 535-6000

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

821 Amohi Ln
Salina, OK 74365
Phone (918) 434-8500

301 S J T Stites St
Sallisaw, OK 74955
Phone (918) 774-1400

471688 Highway 51
Stilwell, OK 74960

19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: smass864002@ahs.direct-ci.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 6

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1356959241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22135 IH 10 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571621",
            "telephone_number": "402-578-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22135 IH 10 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571621",
            "telephone_number": "210-698-1643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 Medical Way",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781324521",
            "country_code": "US",
            "telephone_number": "830-627-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASS",
        "first_name": "SHANE",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13690",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.