Individual provider Active NPI

Abigayle Rose Shubert, PA-C

  • Physician Assistant
  • Butler, MO
National Provider Identifier
1386276434
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
706 S High St
Butler, MO 64730-1833
Phone
(660) 200-7135
NPI assigned
Feb 6, 2020
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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 NU Primary

Addresses

Primary practice location

706 S High St
Butler, MO 64730-1833

Mailing address

706 S High St
Butler, MO 64730-1833
Phone (660) 200-7135

Other names 1

  • Abigayle Rose McGrew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200508000878 MO Practitioner - Physician Assistant 4284065152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bates County Memorial HospitalGroup PAC ID 8123937356, 66 clinicians

Practice addresses (Care Compare)

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-2004

617 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7133

706 S High St
Butler, MO 64730-1833
Phone (660) 200-7135

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Bates County Memorial Hospital CurrentSince Feb 1, 2023 Accepting new patients

Locations

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

706 S High St
Butler, MO 64730
Phone (660) 200-7135

Interoperability endpoints

  • Direct secure messaging: abigayle.mcgrew.1@15058.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1386276434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S HIGH ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301833",
            "telephone_number": "660-200-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S HIGH ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301833",
            "telephone_number": "660-200-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUBERT",
        "first_name": "ABIGAYLE",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAYLE",
            "last_name": "MCGREW",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butler, MO

Sources for this page

Verify at the official NPI Registry.