Shane Bailey, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1500 S Main St
Fort Worth, TX 76104-4917

Phone

(817) 927-1110

NPI assigned

Aug 28, 2013

Last updated

Aug 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arze Medical PLLCGroup PAC ID 0547528978, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coon Memorial Hospital Hospital, Dalhart, TX, CCN 451331

Merit-based Incentive Payment System (MIPS)

Final score

44.62 of 100Reported as group

Quality

67.78

Promoting interoperability

0

Improvement activities

20

Cost

22.62

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.

• Arze Medical PLLC

  dba Key Medical Care

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1780196717
  Medicare reassignment Care Compare group
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment
• County of Ward

  dba Ward Memorial Hospital ER Group

  • Emergency Medicine Physician
  • Monahans, TX
  • NPI 1881782423
  Medicare reassignment
• Dallam-Hartley Counties Hospital District

  dba Coon Memorial Hospital

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1639176456
  Medicare reassignment
• Ies Carrollton PLLC

  • Emergency Medicine Physician
  • Carrollton, TX
  • NPI 1134769789
  Medicare reassignment
• Integrative Emergency Services Physician Group PA

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1285922542
  Medicare reassignment
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment
• County of Ward

  dba Ward Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Monahans, TX
  • NPI 1104906718
  NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1205880036
  NPD
• Comfort Care Hospice, LLC

  dba SilverStone Hospice

  • Community Based Hospice Care Agency
  • Dallas, TX
  • NPI 1902183312
  NPD (past)
• Dallas Anesthesiology Associates, PA

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1497700280
  NPD (past)

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

• Dallam-Hartley Counties Hospital District

  dba Coon Memorial Hospital

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1639176456
  Care Compare affiliation

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1467886283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-927-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-927-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SHANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaci Ranae Bailey
• Laurie Bailey, PHD
• Louis Wayne Bailey
• Madeline Bailey, SLP
• Michael Lynn Bailey, DO
• Shannon Bailey
• Sharlene Elizabeth Bailey, MD
• Susan Rudd Bailey, M.D.
• T Ross Bailey, ATC., LAT
• Ashley Baillio, ACNP

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.