Active NPI
Shane Eugene Mass, PA-C
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13690
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2697 | NE | MD | Mental Health Counselor |
| 11273 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Ies ER Oklahoma LLC | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| LSP, PLLC | Past | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients | |
| Lonestar 24HR ER Management LLC | Past | 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
- 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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1447148093
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1235988015
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1215418280
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
dba Statcare Minor Emergency Clinic
- Family Medicine Physician
- Kingsville, TX
- NPI 1689924904
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Emergency Medicine Physician
- Amarillo, TX
- NPI 1912447319
-
- Emergency Medicine Physician
- Round Rock, TX
- NPI 1134606353
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1245089028
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
dba SCL Health Saint Joseph ED Littleton
- General Acute Care Hospital
- Littleton, CO
- NPI 1164071296
-
dba Saint Joseph Hospital
- General Acute Care Hospital
- Denver, CO
- NPI 1417946021
-
dba SCL Health Saint Joseph ED Northglenn
- General Acute Care Hospital
- Northglenn, CO
- NPI 1427607464
-
dba SCL Health Saint Joseph ED Aurora
- General Acute Care Hospital
- Aurora, CO
- NPI 1619526746
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.