Shelly Margaret States, P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02525 Issued in TX

Practice address

1353 N Travis St
Liberty, TX 77575-3549

Phone

(832) 397-9283

NPI assigned

Jan 27, 2009

Last updated

Nov 27, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harris Health Hospital, Houston, TX, CCN 450289

Merit-based Incentive Payment System (MIPS)

Final score

92.87 of 100Reported as group

Quality

87.77

Improvement activities

40

Cost

76.17

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Baylor College of Medicine

  dba HCHD Community Medicine

  • Family Medicine Physician
  • Houston, TX
  • NPI 1053352914
  Medicare reassignment Care Compare group NPD
• Baylor College of Medicine

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1104867175
  NPD
• Baylor College of Medicine

  • Neurological Surgery Physician
  • Houston, TX
  • NPI 1730132721
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Harris County Hospital District

  dba Harris Health

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1205900370
  Care Compare affiliation

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1407094667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21542 HAWKSPUR RIDGE ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065259",
            "telephone_number": "832-397-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 N TRAVIS ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775753549",
            "telephone_number": "832-397-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATES",
        "first_name": "SHELLY",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA02525",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Smith, LCDC
• Sonographic Imaging Services
• Southeast Texas Medical Inc. (Liberty Medical Mart)
• Spectrum Sprouts Therapy LLC
• Jessica Marie Stanley, LCDC
• Tarkington I.S.D.
• Tarkington Isd
• Ruth Teague, RN, FNP
• Amber Thomas, COTA
• Stacie Marie Thomas, PHYSICAL THERAPIST

• Medical Physician Assistant in Liberty, TX
• Providers in Liberty, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.

Verify at the official NPI Registry.