Individual provider Active NPI

Genie Salcido, PA-C

  • Physician Assistant
  • Hereford, TX
National Provider Identifier
1407287253
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08629 Issued in TX
Practice address
540 W 15TH St
Hereford, TX 79045-2820
Phone
(806) 364-7512
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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 PA08629 TX Primary

Addresses

Primary practice location

540 W 15TH St
Hereford, TX 79045-2820

Mailing address

PO Box 50254
Amarillo, TX 79159-0254
Phone (806) 316-7779

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151218000921 TX Practitioner - Physician Assistant 4688894975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Ross Gunter MD Inc 13 clinicians

Practice addresses (Care Compare)

1600 S Coulter St
D 402
Amarillo, TX 79106-1710
Phone (806) 803-9427

200 N Lutterloh Ave
Gatesville, TX 76528-1424
Phone (661) 949-0004

417 E 1St St
Dumas, TX 79029-3201
Phone (806) 421-0848

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA08629TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Clinics, P.a. Physician Assistant Past Accepting new patients
Family Medicine Centers Lab L P Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1407287253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50254",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590254",
            "telephone_number": "806-316-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 15TH ST",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790452820",
            "telephone_number": "806-364-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCIDO",
        "first_name": "GENIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hereford, TX

Sources for this page

Verify at the official NPI Registry.