Active NPI
Michael Shawn Nye, PA
- Physician Assistant
- Boerne, TX
National Provider Identifier
1427252352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05304
- Practice address
- 37131 Interstate 10 W BLDG 400
Boerne, TX 78006-8989 - Phone
- (830) 307-5758
- Fax
- (830) 214-8649
- NPI assigned
- Jun 13, 2007
- Last updated
- Jul 16, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA05304 | TX | Primary |
Addresses
Primary practice location
37131 Interstate 10 W BLDG 400
Boerne, TX 78006-8989
Mailing address
37131 Interstate 10 W BLDG 400
Boerne, TX 78006-8989
Phone (830) 307-5758
Other practice location 1
212 US Highway 87 Unit A
Comfort, TX 78013-3738
Phone (830) 307-5758
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417372624 | Other | TX | GROUP NPI |
| 880N98 | Other | TX | BCBS |
| 354618ZG9W | Other | TX | PTAN |
| 206513802 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Carpenter's Touch Chiropractic Wellness Center, P.a. | Past | Accepting new patients | |
| Orthorehab LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Boerne, TX
- NPI 1447549027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1427252352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37131 INTERSTATE 10 W BLDG 400",
"city": "BOERNE",
"state": "TX",
"postal_code": "780068989",
"telephone_number": "830-307-5758",
"fax_number": "830-214-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37131 INTERSTATE 10 W BLDG 400",
"city": "BOERNE",
"state": "TX",
"postal_code": "780068989",
"telephone_number": "830-307-5758",
"fax_number": "830-214-8649"
}
],
"practiceLocations": [
{
"address_1": "212 US Highway 87 Unit A",
"address_purpose": "LOCATION",
"city": "Comfort",
"state": "TX",
"postal_code": "780133738",
"country_code": "US",
"telephone_number": "830-307-5758",
"fax_number": "830-214-8649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYE",
"first_name": "MICHAEL",
"middle_name": "SHAWN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1417372624",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "880N98",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "354618ZG9W",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206513802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
- Northland Hearing Centers, Inc. (NewSound Hearing Aid Centers)
- Barbara A Norvell, AUDIOLOGIST
- Novus Psychotherapy & Counseling Center, LLC
- Stephen Paul Nowicki, MD
- Nutrition Sense
- Mari Suzanne O'Brien, RN
- Allison Ogle, DO
- Ohana Pediatric Home Health, LLC
- Karen Beth Ohnheiser-Reischling, M.ED; LPC
- Savannah Oliva, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.