Active NPI
Genie Salcido, PA-C
- Physician Assistant
- Hereford, TX
National Provider Identifier
1407287253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA08629
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA08629 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Medical Laboratory
- Amarillo, TX
- NPI 1972515765
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.